Individual
REBECCA S NELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CENTENNIAL DR, EAST PEORIA, IL 61611-4928
(309) 699-5400
Mailing address
332 LINCOLN BLVD, NORTH PEKIN, IL 61554-1106
(309) 267-4343
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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