Individual
MRS. REBECCA ELLEN SCHRAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 ST MARY DRIVE, EDWARDSVILLE, IL 62025-4276
(618) 692-1330
Mailing address
3801 OLD BRUCEVILLE ROAD, VINCENNES, IL 47591-3889
(812) 886-4677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002194
IL
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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