BLADE MORGAN KOWALSKI

WOODSTOCK, IL
NPI1023849494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160010187)
Enumeration Date2024-08-08
Last Update Date2024-08-08
Business Address
BLADE MORGAN KOWALSKI
2000 LAKE AVE # 2
WOODSTOCK, IL 60098-7401
Phone number: 815-337-7100
Mailing Address
BLADE MORGAN KOWALSKI
9619 MARCI LN
HEBRON, IL 60034-9513
Phone number: 815-528-2179