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Marie-Susanne Langille, PTA
NPI 1538831367 · on the registry since 2021 · sole proprietor
Practice
- Address
- 700 E Walnut St
Bloomington, IL 61701 - Phone
- (309) 310-2701
- Organisation at this address
- Heritage Enterprises, Inc
Heritage Enterprises, Inc.
Goldwater Care Bloomington Llc
Goldwater Care Bloomington Llc
Heritage Manor Bloomington, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois