Individual
MRS. JENNIFER ROBIN HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 UNIVERSITY DR, EDWARDSVILLE, IL 62025-3961
(618) 656-1081
Mailing address
311 LOCUST ST, EDWARDSVILLE, IL 62025-1018
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005115
IL
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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