Individual
DIANE THRELKELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
138 JUNCTION DR, GLEN CARBON, IL 62034-4322
(618) 636-5756
Mailing address
647 SPIRIT AIRPARK WEST DR STE 101, CHESTERFIELD, MO 63005-1032
(636) 206-4225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070020213
IL
Other
Enumeration date
02/03/2014
Last updated
02/24/2025
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