Individual
PREMA RELWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1806 MARNE RD, BOLINGBROOK, IL 60490-4589
(630) 759-7795
Mailing address
1806 MARNE RD, BOLINGBROOK, IL 60490-4589
(630) 759-7795
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003631
IL
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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