Individual
JENNIFER A OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 E MAIN ST, STREATOR, IL 61364-3162
(815) 672-4516
Mailing address
2208 STATE ST APT 1, PERU, IL 61354-3487
(779) 200-5568
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009184
IL
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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