Individual
KRISTIE ANN HAUBRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 PRATT ST, BARRY, IL 62312-1365
(217) 335-2326
Mailing address
2408 SUMMER CRK, QUINCY, IL 62305-8924
(217) 257-6329
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.000484
IL
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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