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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEBRA SUE TALLCOTT, PT

Active Sole Proprietor

DEBRA SUE TALLCOTT, PT is a Physical Therapy Assistant healthcare provider located in MENDON, Illinois. NPI 1023203056 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MENDON, IL

Registration Details

NPI Number
1023203056
Provider Type
Individual
Gender
Female
NPI Issued
Sep 12, 2007 (18.934386696445 yrs)
Last Updated
Sep 12, 2007
License
01183 (IA)
Sole Proprietor
Yes

Practice Information

Address
1426 N 2250TH AVE
MENDON, IL, 623512907
Browse IL providers · Browse ZIP 62351
Phone
2179362534
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.