MICHAEL HEADTKE

BOLINGBROOK, IL
NPI1326273954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160-004997)
Enumeration Date2009-05-27
Last Update Date2009-05-27
Business Address
-- MICHAEL HEADTKE PTA
1256 W BOUGHTON RD
BOLINGBROOK, IL 60440-6568
Phone number: 630-378-9420
Mailing Address
-- MICHAEL HEADTKE PTA
1256 W BOUGHTON RD
BOLINGBROOK, IL 60440-6568
Phone number: 630-378-9420
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