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Search › Illinois › 225200000X

Shan Waid, PTA

NPI 1588325674 · on the registry since 2022 · sole proprietor

Practice

Address
6901 N Galena Rd
Peoria, IL 61614
Phone
(309) 692-4600
Organisation at this address
Lutheran Senior Services
Osf Multi-Specialty Group
Lutheran Hillside Village Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

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
2022-01-01

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