Individual
JANA LEIGH RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10 DOCTORS PARK, GIBSON CITY, IL 60936-2009
(217) 784-2650
(217) 784-8023
Mailing address
1206 S FAWN DR, MAHOMET, IL 61853-3647
(217) 784-2650
(217) 784-8023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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