Individual
MR. DARRELL B SIMMERMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PTA
Contact information
Practice address
2921 GREENBRIAR DR, SUITE B, SPRINGFIELD, IL 62704-6421
(217) 546-3301
(217) 546-3302
Mailing address
2921 GREENBRIAR DR, SUITE B, SPRINGFIELD, IL 62704-6421
(217) 546-3301
(217) 546-3302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005767
IL
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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