Organization
WILLOW HOME CARE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMINIA MANABAT P.T. (PRESIDENT)
(815) 508-5253
Entity
Organization
Contact information
Practice address
13246 S ROUTE 59 STE 102, PLAINFIELD, IL 60585-9801
(815) 230-3910
(815) 230-3930
Mailing address
13246 S ROUTE 59 STE 102, PLAINFIELD, IL 60585-9801
(815) 230-3910
(815) 230-3930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070008654
IL
225100000X
Physical Therapist
070011699
IL
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
04/03/2013
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