Individual
MS. JACQUELINE ANN SIEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(815) 271-5249
(815) 271-5289
Mailing address
623 BEGGS LN APT 3, MARENGO, IL 60152-9366
(815) 596-1111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.001357
IL
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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