CHARLOTTE ELIZABETH WEISS GALLAGHER

BOURBONNAIS, IL
NPI1063767754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160004550)
Enumeration Date2012-07-18
Last Update Date2012-07-18
Business Address
Mrs. CHARLOTTE ELIZABETH WEISS GALLAGHER PTA, LMT
21 HERITAGE DR STE 101
BOURBONNAIS, IL 60914-1465
Phone number: 815-937-8220
Mailing Address
Mrs. CHARLOTTE ELIZABETH WEISS GALLAGHER PTA, LMT
21 HERITAGE DR STE 101
BOURBONNAIS, IL 60914-1465
Phone number: 815-937-8220
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