Individual
MRS. ASHLEY N HENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 SPRING ST, RED BUD, IL 62278-1105
(618) 282-5172
(618) 282-3596
Mailing address
325 SPRING ST, RED BUD, IL 62278-1105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018967
IL
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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