Individual
MEG ANNE FENSHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
220 W JEFFERSON AVE, WHEATON, IL 60187-4111
(630) 690-3315
Mailing address
220 W JEFFERSON AVE, WHEATON, IL 60187-4111
(630) 690-3315
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005752
IL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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