Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Apr 18, 2007
License(s)
070010924 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 520 E BOUGHTON RD | Bolingbrook, IL 60440-2181 | 630-783-2438 |
| MAILING | 1786 PAMPAS ST | Bolingbrook, IL 60490-2073 | 630-248-4066 |
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