Individual
ADRIENNE KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 PERRYMAN ST, LEBANON, IL 62254-1356
(618) 537-6165
Mailing address
812 TANZANITE LN, MASCOUTAH, IL 62258-2953
(618) 580-0386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015653
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00931246
RR MEDICARE
IL
Enumeration date
04/13/2007
Last updated
02/17/2024
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