Individual
MRS. DIANA LEE SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1910 E MCCORD ST, CENTRALIA, IL 62801-6586
(618) 533-1200
Mailing address
16722 E LIBERTY RD, MOUNT VERNON, IL 62864-7456
(618) 237-7405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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