STEPHEN S POTISUK

ST CHARLES, IL
NPI1033412002
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.011469)
Enumeration Date2010-12-14
Last Update Date2010-12-14
Business Address
Mr. STEPHEN S POTISUK PT
44W121 EMPIRE RD
ST CHARLES, IL 60175-8256
Phone number: 630-337-9545
Mailing Address
Mr. STEPHEN S POTISUK PT
44W121 EMPIRE RD
ST CHARLES, IL 60175-8256
Phone number: 630-337-9545