SearchIllinoisPhysical Therapy Assistant

Jessica Wallbaum

NPI 1962969246 · on the registry since 2019

Practice

Address
1525 E Main St
Streator, IL 61364
Phone
(815) 672-4516
Organisation at this address
Arc At Streator Llc
Arc At Streator Llc
Heritage Manor - Streator
Heritage Manor Streator, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Also registered as
Physical Therapy Assistant
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-22

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