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Individual

ALANA HENDRIXSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
505 E GRANT ST STE 110, MACOMB, IL 61455-3308
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070028712
IL
225100000X
Physical Therapist
PT018730
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0420891
OH
05
2565399
OH
Enumeration date
09/14/2020
Last updated
11/01/2024
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