Individual
KATHERINE JALANE PRISBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 E MONROE ST, CUBA, IL 61427-5109
(309) 785-5012
Mailing address
2521 N TRIVOLI RD, TRIVOLI, IL 61569-9543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002283
IL
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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