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Organization
WILLOW THERAPEUTICS, LTD
Active
Organization
WILLOW THERAPEUTICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RIOUS G MANABAT P.T. (PRESIDENT)
(815) 483-5753
Entity
Organization
Contact information
Practice address
24835 FRANKLIN LN, PLAINFIELD, IL 60585-2216
(815) 483-5753
Mailing address
24835 FRANKLIN LN, PLAINFIELD, IL 60585-2216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070008654
IL
225100000X
Physical Therapist
Primary
070011699
IL
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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