Individual
CANDY MICHELLE JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1301 N MAPLE ST, EFFINGHAM, IL 62401-1779
(217) 347-1243
(217) 347-1558
Mailing address
1301 N MAPLE ST, EFFINGHAM, IL 62401-1779
(217) 347-1243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070007164
IL
Other
Enumeration date
07/28/2005
Last updated
12/22/2021
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