Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jan 5, 2015
License(s)
070.021102 (IL), PT007671 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1818 FAIRHAVEN LN | Schaumburg, IL 60194-2645 | 678-357-0309 |
| LOCATION | 345 E SUPERIOR ST | Chicago, IL 60611-2654 | 678-357-0309 |
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