EMILY FOSNAUGH

LANSING, IL
NPI1790108082
Former NameEMILY GUNN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160006435)
Enumeration Date2014-01-23
Last Update Date2014-01-23
Business Address
-- EMILY FOSNAUGH PTA
2500 175TH ST
LANSING, IL 60438-1801
Phone number: 708-418-3612
Mailing Address
-- EMILY FOSNAUGH PTA
2500 175TH ST
LANSING, IL 60438-1801
Phone number: 708-418-3612