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1891984746
THAMPI KODENKANDATH JOSE
TINLEY PARK, IL
NPI
1891984746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 0500944A)
Enumeration Date
2007-10-17
Last Update Date
2009-07-20
Business Address
Mr. THAMPI KODENKANDATH JOSE physical therapist
8036 NIELSEN DR
TINLEY PARK, IL 60477-2689
Phone number: 810-824-7246
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Mailing Address
Mr. THAMPI KODENKANDATH JOSE physical therapist
8036 NIELSEN DR
TINLEY PARK, IL 60477-2689
Phone number: 810-824-7246
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