Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Feb 28, 2025
License(s)
070.028986 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1320 DODGE AVE | Evanston, IL 60201-4032 | 315-534-4769 |
| MAILING | 1320 DODGE AVE | Evanston, IL 60201-4032 | 315-534-4769 |
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