Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Aug 25, 2023
License(s)
PT031419 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2001 BUTTERFIELD RD STE 1600 | Downers Grove, IL 60515-1211 | |
| LOCATION | 9512 HARFORD RD STE 3 | Baltimore, MD 21234-3127 | 410-882-3010 |
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