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Individual

MARY E. YORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
924 S COMMERCIAL ST, HARRISBURG, IL 62946-2637
(618) 252-7171
(618) 252-7272
Mailing address
924 S COMMERCIAL ST, HARRISBURG, IL 62946-2637

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003956
IL

Other

Enumeration date
01/04/2011
Last updated
01/04/2011
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