LISA HALVORSEN

PLAINFIELD, IL
NPI1669830923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.006750)
Enumeration Date2016-02-02
Last Update Date2016-02-02
Business Address
LISA HALVORSEN
14051 S OAKDALE CIR
PLAINFIELD, IL 60544-7064
Phone number: 708-244-8004
Mailing Address
LISA HALVORSEN
14051 S OAKDALE CIR
PLAINFIELD, IL 60544-7064
Phone number: 708-244-8004