Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Sep 4, 2013
License(s)
5501014664 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2001 BUTTERFIELD RD STE 1600 | Downers Grove, IL 60515-1211 | 866-370-8206 |
| LOCATION | 4765 E 126TH ST | Carmel, IN 46033-2407 | 317-810-0525 |
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