Individual
MRS. RACHAEL NICOLE JANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1901 N 13TH STREET, HERRIN, IL 62948
(618) 942-3274
(618) 942-8240
Mailing address
2894 ST HWY 14, MULKEYTOWN, IL 62865
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003530
IL
Other
Enumeration date
09/03/2008
Last updated
09/08/2008
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