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1114109790
REGINA TAN
JOLIET, IL
NPI
1114109790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015693)
Enumeration Date
2007-12-05
Last Update Date
2008-11-05
Business Address
-- REGINA TAN PT
2320-2324 WEST JEFFERSON STREET
JOLIET, IL 60435
Phone number: 815-741-3758
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Mailing Address
-- REGINA TAN PT
16101 WEBER RD
CRESTHILL, IL 60403-8812
Phone number: 815-306-1100
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