Individual
JACIE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 STATE ST, PEKIN, IL 61554-3937
(309) 347-1110
Mailing address
312 S CHESTNUT ST, TREMONT, IL 61568-8550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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