JENNIFER HENNEBERG

BLOOMINGTON, IL
NPI1407306848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160007198)
Enumeration Date2016-10-10
Last Update Date2016-10-10
Business Address
Mrs. JENNIFER HENNEBERG
135 N WILLIAMSBURG DR
BLOOMINGTON, IL 61704-3528
Phone number: 309-664-9104
Mailing Address
Mrs. JENNIFER HENNEBERG
2 COVE POINTE CT
BLOOMINGTON, IL 61704-1417
Phone number: 309-645-9527
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