Individual
JESSIE WALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
35 COUNTY ROAD 500 N, SIGEL, IL 62462-2000
(217) 259-8596
Mailing address
35 COUNTY ROAD 500 N, SIGEL, IL 62462-2000
(217) 259-8596
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006876
IL
225200000X
Physical Therapy Assistant
160006876
IL
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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