Individual
GINNY ROESTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1010 LAS BRISAS CT, JEFFERSON CITY, MO 65101-5602
(217) 821-5733
Mailing address
1010 LAS BRISAS CT, JEFFERSON CITY, MO 65101-5602
(217) 821-5733
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-003853
IL
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
04/14/2007
Last updated
04/29/2026
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