Doedtman, Mallory Ann

Doedtman, Mallory Ann is an individual health care provider with primary practice located at 12704 E 1975Th Ave , Effingham IL 62401-6874. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Doedtman, Mallory Ann can be contacted via phone (217) 821-4715.

Contact Information

Primary practice address
12704 E 1975Th Ave Effingham IL 62401-6874
Phone: (217) 821-4715
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.019727 Illinois

Profile Details

NPI number 1982042461
LBN Legal business name Doedtman, Mallory Ann
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2013
Last updated Jun 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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