Ginny Liss, PTA

NPI #1649495813 in Effingham, Illinois

Provider Information

NPI Number: 1649495813
Entity Type: Individual
Name: Ginny Liss, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 201 S MULBERRY ST
City: Effingham
State: Illinois
ZIP Code: 62401-2431
Phone: (217) 821-5733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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