Linda Sue Irish, P.T.A.

NPI #1780091462 in Lincoln, Illinois

Provider Information

NPI Number: 1780091462
Entity Type: Individual
Name: Linda Sue Irish, P.T.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: Jul 15, 2014
Last Updated: Jul 15, 2014

Practice Location

Address: 200 5TH ST
City: Lincoln
State: Illinois
ZIP Code: 62656-2619
Phone: (309) 267-9315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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