BECKY HENNING BUSHAW

HIGHLAND PARK, IL
NPI1114166436
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160-002572)
Enumeration Date2009-02-10
Last Update Date2009-02-10
Business Address
-- BECKY HENNING BUSHAW PTA
1268 SHERIDAN RD
HIGHLAND PARK, IL 60035-4120
Phone number: 847-432-3833
Mailing Address
-- BECKY HENNING BUSHAW PTA
1268 SHERIDAN RD
HIGHLAND PARK, IL 60035-4120
Phone number: 847-432-3833
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