Jillian Christine Deters

NPI #1023698313 in Mattoon, Illinois

Provider Information

NPI Number: 1023698313
Entity Type: Individual
Name: Jillian Christine Deters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 10, 2021
Last Updated: Apr 10, 2021

Practice Location

Address: 201 LAFAYETTE AVE E
City: Mattoon
State: Illinois
ZIP Code: 61938-4641
Phone: (217) 235-5449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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