MRS. Casey Dawn Mc Donnough, PTA, BS

NPI #1467715870 in Pinckneyville, Illinois

Provider Information

NPI Number: 1467715870
Entity Type: Individual
Name: MRS. Casey Dawn Mc Donnough, PTA, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, BS
Enumeration Date: Jun 20, 2012
Last Updated: Jun 20, 2012

Practice Location

Address: 101 N WALNUT ST
City: Pinckneyville
State: Illinois
ZIP Code: 62274-1034
Phone: (618) 357-5935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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