Individual
SIERRA DARLENE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 N DIXIE HWY, HOOPESTON, IL 60942-1021
(217) 283-8247
Mailing address
432 S 6TH ST, WATSEKA, IL 60970-1707
(815) 471-5118
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009414
IL
225200000X
Physical Therapy Assistant
—
IL
Other
Enumeration date
07/01/2021
Last updated
07/11/2022
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