Individual
JENNIFER MARIE HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1101 ELMWOOD RD, BLOOMINGTON, IL 61701-3316
(309) 828-2909
Mailing address
502 N MAIN ST, ELLSWORTH, IL 61737-9474
(309) 261-4597
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
160.004693
IL
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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