Individual
MINDY BEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7676 N 950TH ST, ROBINSON, IL 62454-5042
(618) 554-0494
Mailing address
7676 N 950TH ST, ROBINSON, IL 62454-5042
(618) 554-0494
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004003
IL
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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