Individual
JENNIFER HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 WALNUT ST, EAST DUBUQUE, IL 61025-9572
(815) 281-2043
Mailing address
9 WALNUT ST, EAST DUBUQUE, IL 61025-9572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
098028
IA
225200000X
Physical Therapy Assistant
—
IL
Other
Enumeration date
02/28/2019
Last updated
09/15/2020
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