KIM PRESTANGEN

EVANSTON, IL
NPI1487386843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160008803)
Enumeration Date2022-06-25
Last Update Date2022-06-25
Business Address
KIM PRESTANGEN PTA
1000 CENTRAL ST STE 101
EVANSTON, IL 60201-1780
Phone number: 847-570-1260
Mailing Address
KIM PRESTANGEN PTA
PO BOX 310
SPRING GREEN, WI 53588-0310
Phone number: 224-392-5485