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Individual

DIANA AGNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2189 E 1525 NORTH RD, SHELBYVILLE, IL 62565-4536
(217) 774-3677
Mailing address
2189 E 1525 NORTH RD, SHELBYVILLE, IL 62565-4536
(217) 774-3677

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002238
IL

Other

Enumeration date
01/21/2015
Last updated
01/21/2015
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