ANKIT MODI

LIBERTYVILLE, IL
NPI1548794621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.006636)
Enumeration Date2017-04-17
Last Update Date2017-04-17
Business Address
-- ANKIT MODI PTA
901 FLORSHEIM DR
LIBERTYVILLE, IL 60048-5200
Phone number: 616-796-4637
Mailing Address
-- ANKIT MODI PTA
18245 W BANBURY DR
GURNEE, IL 60031-4580
Phone number:
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