Threlkeld, Diane
Threlkeld, Diane is an individual health care provider with primary practice located at 138 Junction Dr , Glen Carbon IL 62034-4322. 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. Threlkeld, Diane can be contacted via phone (618) 636-5756.Contact Information
Primary practice address
138 Junction Dr
Glen Carbon IL 62034-4322
Phone: (618) 636-5756
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070020213 | Illinois |
Profile Details
| NPI number | 1891118410 |
|---|---|
| LBN Legal business name | Threlkeld, Diane |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2014 |
| Last updated | May 15th, 2023 - about 3 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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