Tracy J Sorrell, PTA
Physical Therapy Assistant in Coal Valley, IL. Individual provider (NPI-1).
NPI number1528241908
StatusActive
Last updated in NPPESDec 9, 2007
Details
- NPI
- 1528241908
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tracy J Sorrell
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2007
- Last updated
- Dec 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 160.003767 | IL | Yes |
Practice location
11210 95th StCoal Valley, IL 61240-9360
Phone 309-799-3161
Mailing address
1667 320th StSherrard, IL 61281-8503
Phone 309-593-2648
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