Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Aug 18, 2021
License(s)
070.026088 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2204 BAXTER CT | Elgin, IL 60123-8575 | |
| LOCATION | 220 N SMITH ST STE 100 | Palatine, IL 60067-2415 | 847-934-7330 |
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