Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jul 21, 2006
License(s)
070007180 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 228 | Willow Springs, IL 60480-0228 | 630-371-1623 |
| LOCATION | 7055 HIGH GROVE BLVD | Burr Ridge, IL 60527-7628 | 630-371-1623 |
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