THERESA S MOULTON

CHICAGO, IL
NPI1174762231
Former NameTHERESA M SUKAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2009-02-13
Last Update Date2011-08-05
Business Address
-- THERESA S MOULTON PT
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-1000
Mailing Address
-- THERESA S MOULTON PT
4334 N SACRAMENTO AVE UNIT 1E
CHICAGO, IL 60618-1452
Phone number: 484-951-6562
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