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1871944934
MARY SAMULAK
GLENVIEW, IL
NPI
1871944934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.007492)
Enumeration Date
2016-06-29
Last Update Date
2016-06-29
Business Address
Mrs. MARY SAMULAK PTA
3703 W LAKE AVE SUITE200
GLENVIEW, IL 60026-5823
Phone number: 847-998-1188
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Mailing Address
Mrs. MARY SAMULAK PTA
3400 W STONEGATE BLVD APT 219
ARLINGTON HEIGHTS, IL 60005-1045
Phone number: 269-964-3993
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