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Individual

ASHLEE WENNMACHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4343 KENNEDY DR, EAST MOLINE, IL 61244-4203
(309) 796-6600
Mailing address
4343 KENNEDY DR, EAST MOLINE, IL 61244-4203

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004413
IL
225200000X
Physical Therapy Assistant
IL

Other

Enumeration date
05/21/2018
Last updated
10/27/2020
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