Milka Petrovich Thoresen PT DPT

NPI 1699965608 - Physical Therapist - 225100000X

NPI Details
NPI 1699965608
Gender Female
Enumeration Date 07/26/2007
Last Updated 04/30/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
5548 S HYDE PARK BLVD
CHICAGO IL, 60637-1909, US
Phone (773) 256-5050
Fax
Business Location
3065 E HICKORY LN
CRETE IL, 60417-0532, US
Phone (708) 672-9066
Fax
Toxanomy
Taxonomy Code 225100000X
License State Massachusetts
License Number 17873
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According to our database, Milka Petrovich Thoresen PT DPT NPI is 1699965608, taxonomy code is 225100000X and license number is 17873, license state is located at Massachusetts. Milka Petrovich Thoresen PT DPT physically located at 5548 S Hyde Park Blvd, Chicago IL, 60637-1909. NPI Number Milka Petrovich Thoresen PT DPT has the Individual type.

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1699965608 NPI number is provided on an as is basis without warranty of any kind. 1699965608 is maintained by the National Plan & Provider Enumeration System. The contents of Milka Petrovich Thoresen PT DPT are for informational purposes only.