Individual
ALESHKA GRUSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6901 N GALENA RD, PEORIA, IL 61614-3193
(309) 692-4600
Mailing address
111A W KAUFFMAN ST, CONGERVILLE, IL 61729-9565
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008266
IL
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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