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1164564290
PENNY RENE SPRADLIN
PEORIA, IL
NPI
1164564290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160002115)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
-- PENNY RENE SPRADLIN PTA
6000 N ALLEN ROAD
PEORIA, IL 61614-3294
Phone number: 309-691-1400
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Mailing Address
-- PENNY RENE SPRADLIN PTA
6000 N ALLEN ROAD
PEORIA, IL 61614-3294
Phone number: 309-691-1400
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