PRATHAN SIRIVAT

WILMETTE, IL
NPI1033282413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070006385)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
-- PRATHAN SIRIVAT P.T.
3512 GREENWOOD AVE
WILMETTE, IL 60091-1010
Phone number: 847-251-1231
Mailing Address
-- PRATHAN SIRIVAT P.T.
3512 GREENWOOD AVE.
WILMETTE, IL 60091-1010
Phone number: 847-251-1231
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