Individual
JENNIFER DOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
38 S MAIN ST, SUITE A & B, SUGAR GROVE, IL 60554-5031
(630) 466-5866
(630) 466-5869
Mailing address
38 S MAIN ST, SUITE A & B, P.O. BOX 274, SUGAR GROVE, IL 60554-5031
(630) 466-5866
(630) 466-5869
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006784
IL
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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