Individual
DANIELLE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 546-2695
Mailing address
13548 E 1700TH AVE, HUTSONVILLE, IL 62433-2520
(618) 554-5221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009234
IL
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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