Individual
KIMBERLY SUE NEIRYNCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9533 450 EAST ST, NEPONSET, IL 61345-9131
(815) 830-1830
Mailing address
9533 450 EAST ST, NEPONSET, IL 61345-9131
(815) 830-1830
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005864
IL
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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