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Organization
WILLOW THERAPEUTICS
Active
Organization
WILLOW THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIOUS MANABAT PT (REHABILITATION MANAGER)
(815) 508-5253
Entity
Organization
Contact information
Practice address
24835 FRANKLIN LN, PLAINFIELD, IL 60585-2216
(815) 508-5253
Mailing address
24835 FRANKLIN LN, PLAINFIELD, IL 60585-2216
(815) 508-5253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70008654
IL
Other
Enumeration date
11/09/2006
Last updated
05/13/2009
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