Individual
MRS. SARAH ELIZABETH MCSHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
11210 95TH ST, COAL VALLEY, IL 61240-9360
(309) 799-3161
Mailing address
1807 1ST ST, COAL VALLEY, IL 61240-9347
(309) 798-8582
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004755
IL
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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