Individual
JENA TRESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 LEHMEN DR, CHESTER, IL 62233-1263
(618) 826-4588
Mailing address
833 LEHMEN DR, CHESTER, IL 62233-1263
(618) 826-4588
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008098
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160008098
PTA LICENSE
IL
Enumeration date
07/15/2021
Last updated
07/15/2021
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