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Michelle Renee Jenkel Valid NPI

Individual provider · Physical Therapy Assistant · O Fallon, IL

NPI
1548999741
Type
Individual (Type 1)
Primary specialty
Physical Therapy Assistant
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225200000X
License number
160.001627 (IL)
Sex
Female
Sole proprietor
No
Enumerated
2022-06-06
Last updated
2022-06-06
Practice location
1050 Fountain Lakes Dr
O Fallon, IL 62269-2595
(877) 498-6452

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