Individual
ANITA BEETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 W DAYTON ST, GALESBURG, IL 61401-1507
(309) 973-2011
Mailing address
1890 SUNSET DR, GALESBURG, IL 61401-8542
(309) 341-1263
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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