Individual
JESSICA LEIGH MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1320 W 9TH ST, MOUNT CARMEL, IL 62863-2905
(618) 263-4337
Mailing address
1109 10TH ST, LAWRENCEVILLE, IL 62439-2828
(812) 890-6944
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006120
IL
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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