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Organization
LIESEL BROWN PHYSICAL THERAPY LLC
Active
Organization
LIESEL BROWN PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIESEL BROWN PT (OWNER)
(847) 728-0550
Entity
Organization
Contact information
Practice address
1110 ASHLAND AVE, WILMETTE, IL 60091-1604
(847) 728-0550
Mailing address
1110 ASHLAND AVE, WILMETTE, IL 60091-1604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070009534
IL
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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