Netherine Lann Valencia Agsalda, RPT | |
620 W Bridgeport St., White Hall Nursing And Rehab, White Hall, IL 62092 | |
(217) 374-2144 | |
Not Available |
Full Name | Netherine Lann Valencia Agsalda |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 620 W Bridgeport St., White Hall, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619302510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.018753 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Netherine Lann Valencia Agsalda, RPT Rr 1 Box 170, Hillview, IL 62050 Ph: (217) 204-3036 | Netherine Lann Valencia Agsalda, RPT 620 W Bridgeport St., White Hall Nursing And Rehab, White Hall, IL 62092 Ph: (217) 374-2144 |
Vidit Atul Phanse, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 620 W Bridgeport St, White Hall, IL 62092 Phone: 217-374-6714 | |
Loida Lim Baculanta, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 549 N Main St, Apt 4, White Hall, IL 62092 Phone: 217-416-8032 |