Individual
ANGELA CERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 529-0516
(618) 529-0403
Mailing address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 529-0516
(618) 529-0403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096001786
IL
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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