Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Feb 24, 2009
License(s)
023521 (NY), 070019138 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 9310 PARKSIDE AVE | Oak Lawn, IL 60453-2339 | 708-907-3245 |
| LOCATION | 9310 PARKSIDE AVE | Oak Lawn, IL 60453-2339 | 708-907-3245 |
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