Individual
HEATHER ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
701 SHADWELL AVE, FLORA, IL 62839-2310
(618) 662-8361
Mailing address
407 BRIAN DR, OLNEY, IL 62450-2401
(618) 320-1572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
16000927
IL
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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