EDWARD MOLINE

CHICAGO, IL
NPI1437978723
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160009368)
Enumeration Date2024-10-04
Last Update Date2024-10-04
Business Address
EDWARD MOLINE
1969 W OGDEN AVE
CHICAGO, IL 60612-3773
Phone number: 312-864-3655
Mailing Address
EDWARD MOLINE
1969 W OGDEN AVE
CHICAGO, IL 60612-3773
Phone number:
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