Individual
DR. ANITA TALLEGIEN DANESHDOOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MS
Contact information
Practice address
1725 SHOMAKER DRIVE, MURPHYSBORO, IL 62966
(618) 684-2109
(618) 687-1638
Mailing address
157 LILAC LANE, CARBONDALE, IL 62903
(618) 521-4529
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070.006931
IL
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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