AUDREY SLAVEN

GLENVIEW, IL
NPI1801061627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.003955)
Enumeration Date2008-04-23
Last Update Date2008-04-23
Business Address
-- AUDREY SLAVEN P.T.A.
3707 WEST LAKE AVENUE SUITE 200
GLENVIEW, IL 60026
Phone number: 847-998-1188
Mailing Address
-- AUDREY SLAVEN P.T.A.
818 S 2ND ST
DEKALB, IL 60115-4171
Phone number: