Individual
MRS. JAMI ANN GRUENLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
201 S 10TH ST, MASCOUTAH, IL 62258-1736
(618) 566-8000
(618) 566-7408
Mailing address
201 S 10TH ST, MASCOUTAH, IL 62258-1736
(618) 566-8000
(618) 566-7408
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
070.009756
IL
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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