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Individual

JESSA KATE SPRINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 E ILLINOIS ST, NEW BADEN, IL 62265-1850
(618) 588-4924
Mailing address
122 CIRCLE DR, DAMIANSVILLE, IL 62215-1320
(618) 204-6152

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008255
IL

Other

Enumeration date
11/24/2021
Last updated
11/24/2021
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