Individual
DANIELLE KATHLEEN KRIKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
108 APRIL AVE, CARMI, IL 62821-1577
(618) 382-2771
(618) 382-2272
Mailing address
PO BOX 773, SHAWNEETOWN, IL 62984-0773
(618) 382-2771
(618) 382-2772
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006713
IL
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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