DEBORAH A REVOLTA

ALGONQUIN, IL
NPI1770829822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070004196)
Enumeration Date2012-12-18
Last Update Date2014-10-03
Business Address
-- DEBORAH A REVOLTA PT
770 S RANDALL RD
ALGONQUIN, IL 60102-5915
Phone number: 224-209-5051
Mailing Address
-- DEBORAH A REVOLTA PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223