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1003150939
MOHAMMAD ALI SALEM
BRIDGEVIEW, IL
NPI
1003150939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.006048)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
Mr. MOHAMMAD ALI SALEM PTA
8540 S HARLEM AVE
BRIDGEVIEW, IL 60455-1778
Phone number: 708-598-2605
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Mailing Address
Mr. MOHAMMAD ALI SALEM PTA
6606 W 89TH PL
OAK LAWN, IL 60453-1026
Phone number: 708-606-8735
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