JENNIFER SHAMBAUGH

PEORIA, IL
NPI1417122201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.001414)
Enumeration Date2008-04-23
Last Update Date2008-04-23
Business Address
-- JENNIFER SHAMBAUGH PTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
Mailing Address
-- JENNIFER SHAMBAUGH PTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number:
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