Individual
CAITLYN EREN KNOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S 10TH ST, MASCOUTAH, IL 62258-1736
(618) 566-8000
Mailing address
6637 LIEBIG SCHOOL RD, MASCOUTAH, IL 62258-4033
(618) 920-5112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008190
IL
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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