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Annette Susan Cyrocki

Physical Therapy Assistant in La Moille, IL. Individual provider (NPI-1).

NPI number1083171789
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1083171789
Entity type
Individual (NPI-1)
Name
Annette Susan Cyrocki
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 28, 2019
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant160.004522ILYes

Practice location

27574 2900 North Ave
La Moille, IL 61330-9514

Phone 815-866-1717

Mailing address

27574 2900 North Ave
La Moille, IL 61330-9514

Phone 815-866-1717

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