Mary Lou Siegfried, PTA

NPI #1467624411 in Henry, Illinois

Provider Information

NPI Number: 1467624411
Entity Type: Individual
Name: Mary Lou Siegfried, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 31, 2008
Last Updated: Mar 31, 2008

Practice Location

Address: 1650 INDIANTOWN RD
City: Henry
State: Illinois
ZIP Code: 61537-9227
Phone: (309) 364-3905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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