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1780854950
TINA VANDENBROUCKE
ELGIN, IL
NPI
1780854950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.005551)
Enumeration Date
2008-03-04
Last Update Date
2012-10-31
Business Address
TINA VANDENBROUCKE PT
1975 LIN LOR LN
ELGIN, IL 60123-4902
Phone number: 847-468-6098
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Mailing Address
TINA VANDENBROUCKE PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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