Individual
EILEEN MARY HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 GLENHAVEN DR, ALTON, IL 62002-6759
(618) 462-1500
Mailing address
3490 HUMBERT RD, ALTON, IL 62002-7101
(618) 465-2626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117165
IL
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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