Individual
EMILY REAGAN MEADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S STATION RD, GLEN CARBON, IL 62034-2743
(618) 288-5014
Mailing address
2209 JACK NICKLAUS DR, BELLEVILLE, IL 62220-4896
(210) 288-2605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009413
IL
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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