Individual
MRS. SALLY JOAN SCHROETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
208 ZACHERY DR, MOUNT VERNON, IL 62864-6712
(618) 244-5580
Mailing address
29712 JUNCTION RD, CENTRALIA, IL 62801-7910
(618) 780-8217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003304
IL
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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