Individual
MONTANNAH VETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W ROMEO B GARRETT AVE, PEORIA, IL 61605-2301
(309) 680-1500
Mailing address
15225 W TODD SCHOOL RD, GLASFORD, IL 61533-9720
(309) 201-0603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009892
IL
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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