Individual
DEENA LYNN HINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 E MADISON ST, MILLSTADT, IL 62260-2084
(618) 719-2222
Mailing address
900 E MADISON ST, MILLSTADT, IL 62260-2084
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001712
IL
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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