Individual
HEATHER JEAN LYNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
129 W 4TH ST, PECATONICA, IL 61063-7712
(815) 990-5641
Mailing address
129 W 4TH ST, P.O.BOX 493, PECATONICA, IL 61063-7712
(815) 990-5641
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005277
IL
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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