Individual
SARAH JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
482 WYLIE DR, NORMAL, IL 61761-5405
(309) 621-4288
Mailing address
482 WYLIE DR, NORMAL, IL 61761-5405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003667
IL
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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