Individual
MRS. JAMIE LYN DENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1752 WINDSOR RD, LOVES PARK, IL 61111-4280
(815) 977-3747
Mailing address
10591 PALACE CT, ROSCOE, IL 61073-9317
(779) 475-1063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008350
IL
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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