Individual
EMILY KAY PRENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4401 N MAIN ST, ROCKFORD, IL 61103-1277
(779) 771-6867
Mailing address
4401 N MAIN ST, ROCKFORD, IL 61103-1277
(779) 771-6867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005881
IL
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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