JOANN DAWN MIX

BELLEVILLE, IL
NPI1255681888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  11-05712)
Additional Taxonomies225100000X Physical Therapist
(Licence: IL  070018003)
225100000X Physical Therapist
(Licence: NJ  40QA00986500)
225100000X Physical Therapist
(Licence: MO  2010006857)
225100000X Physical Therapist
(Licence: HI  PT-3992)
225100000X Physical Therapist
(Licence: AL  PTH7173)
225100000X Physical Therapist
(Licence: GA  PT011528)
225100000X Physical Therapist
(Licence: CA  40574)
Enumeration Date2012-09-11
Last Update Date2018-04-02
Business Address
Mrs. JOANN DAWN MIX PT
1201 HARTMAN LN
BELLEVILLE, IL 62221-8402
Phone number: 618-207-1610
Mailing Address
Mrs. JOANN DAWN MIX PT
1201 HARTMAN LN
BELLEVILLE, IL 62221-8402
Phone number: 618-207-1610