Individual
MRS. JAYNE E. NINNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4500 MEMORIAL DR., MEMORIAL HOSPITAL, BELLEVILLE, IL 62226
(618) 233-7750
(618) 257-6911
Mailing address
3801 OLD BRUCEVILLE ROAD, TRUREHAB, VINCENNES, IN 47591
(812) 886-4670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003204
IL
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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