Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Oct 12, 2006
License(s)
05003045a (IN)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3240 E 84TH PL | Merrillville, IN 46410-6549 | 219-791-0494 |
| MAILING | 205 W WACKER DR SUITE 1020 | Chicago, IL 60606-1216 | 312-640-0329 |
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