Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Dec 4, 2006
License(s)
070000761 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1205 SOUTH PARK AVE | Streamwood, IL 60107-2902 | 630-837-6980 |
| LOCATION | 1205 SOUTH PARK AVE | Streamwood, IL 60107-2902 | 630-837-6980 |
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