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Search › Illinois › Physical Therapy Assistant

Mary Pentecost, PTA

NPI 1790933869 · on the registry since 2008

Practice

Address
1901 N. 13th St.
Herrin, IL 62948
Phone
(618) 942-3274
Fax
(618) 942-8240
Organisation at this address
Shawnee Senior Living Llc
Shawnee Christian Nursing Center, Llc
Shawnee Christian Nursing Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-09-03

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