Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Aug 7, 2018
License(s)
P18249 (NC), 070-028747 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1305 MAIN ST | Pecatonica, IL 61063-9361 | 815-239-2233 |
| MAILING | 2122 YORK RD STE 300 | Oak Brook, IL 60523-1925 | 630-575-9800 |
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