Individual
JESSICA D EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8 CHELSEA CT, BOURBONNAIS, IL 60914-1501
(217) 663-1372
Mailing address
8 CHELSEA CT, BOURBONNAIS, IL 60914-1501
(217) 663-1372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008355
IL
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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