Individual
JENNIFER PATRICE RIESMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5437 BROOKBANK RD, DOWNERS GROVE, IL 60515-4842
(314) 504-3995
Mailing address
5437 BROOKBANK RD, DOWNERS GROVE, IL 60515-4842
(314) 504-3995
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070013426
IL
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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