Jamie Lyn Denwood, PTA
Physical Therapy Assistant in Loves Park, IL. Individual provider (NPI-1).
NPI number1316632482
StatusActive
Last updated in NPPESApr 5, 2023
Details
- NPI
- 1316632482
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jamie Lyn Denwood
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2023
- Certification date
- Apr 5, 2023
- Last updated
- Apr 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 160008350 | IL | Yes |
Practice location
1752 Windsor RdLoves Park, IL 61111-4280
Phone 815-977-3747
Mailing address
10591 Palace CtRoscoe, IL 61073-9317
Phone 779-475-1063
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