Individual
MRS. TRACY J SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11210 95TH ST, COAL VALLEY, IL 61240-9360
(309) 799-3161
Mailing address
1667 320TH ST, SHERRARD, IL 61281-8503
(309) 593-2648
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
12/09/2007
Last updated
12/09/2007
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