Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
May 15, 2008
License(s)
070-006970 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1601 BOND ST 210 | Naperville, IL 60563-0113 | 630-428-5850 |
| LOCATION | 1599 N FARNSWORTH AVE | Aurora, IL 60505-1530 | 630-595-5901 |
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