Individual
MRS. KATIE E. ALLEN-WACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
212 LINDOW LANE, SUITE M, MARENGO, IL 60152
(815) 568-8878
(815) 568-9977
Mailing address
PO BOX 1534, BELVIDERE, IL 61008-1705
(815) 568-8878
(815) 568-9977
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005283
IL
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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