NPI 1063665305

Karen D Street, PTA

Practitioner Physical Therapy Assistant Champaign, IL

Practice location

Address: 1315 Curt Dr, Champaign, IL 61821-1167
Phone: (217) 352-9334
Fax: (217) 352-9324

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160001486 (IL)

Other Physical Therapy Assistant providers in Illinois →

Registry record

NPI: 1063665305
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2008
Record last updated: 30 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.