Individual
MISS GRACE CATHERINE PUNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-5240
Mailing address
1505 N AUTUMN LN, PEORIA, IL 61604-4601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.010243
IL
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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