Individual
MRS. JONI DEANNE GRUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2612 DISCOVERY DR., PLAINFIELD, IL 60586
(815) 577-1336
Mailing address
2612 DISCOVERY DR, PLAINFIELD, IL 60586-6596
(815) 577-1336
(815) 577-1336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002353
IL
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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