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Individual

ROBERT GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2200 FORT JESSE RD STE 230, NORMAL, IL 61761-6291
(309) 661-6260
Mailing address
2200 FORT JESSE RD STE 230, NORMAL, IL 61761-6291
(309) 661-6260

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
04/28/2022
Last updated
04/28/2022
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