Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
May 1, 2013
License(s)
05004041A (IN)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 15826 ROB ROY DR | Oak Forest, IL 60452-2742 | 708-612-5207 |
| LOCATION | 9200 CALUMET AVE SUITE 401 | Munster, IN 46321-2885 | 219-513-8866 |
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