Individual
ASHLEY KAYE VANACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 SYCAMORE RD, DEKALB, IL 60115-2045
(815) 517-9083
Mailing address
546 AMHERST DR, SYCAMORE, IL 60178-8914
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008314
IL
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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