Individual
MRS. TANYA L LANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 WARREN ST, CHENOA, IL 61726-1256
(815) 867-6189
Mailing address
725 WARREN ST, CHENOA, IL 61726-1256
(815) 867-6189
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002272
IL
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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