Individual
JANE DINTZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
820 E TERRA COTTA AVE, SUITE 101, CRYSTAL LAKE, IL 60014-3649
(815) 788-8383
Mailing address
820 E TERRA COTTA AVE, SUITE 101, CRYSTAL LAKE, IL 60014-3649
(815) 788-8383
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227005946
IL
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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