Individual
MS. DEANNA R JANNUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
Mailing address
19834 S EDINBURGH LN, FRANKFORT, IL 60423-6922
(708) 903-2226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002219
IL
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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