Individual
CAITLIN KIRGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2228 GREEN STREET RD, CENTRALIA, IL 62801-8404
(618) 314-0343
Mailing address
2228 GREEN STREET RD, CENTRALIA, IL 62801-8404
(618) 314-0343
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007880
IL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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