Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Sep 2, 2010
License(s)
070008029 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4440 W 95TH ST | Oak Lawn, IL 60453-2600 | |
| LOCATION | 4440 W 95TH ST STE 107 | Oak Lawn, IL 60453-2600 | 708-684-3000 |
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