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Individual

PETER RASLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
5255 W 95TH ST, OAK LAWN, IL 60453-2450
(708) 424-2977
(708) 424-2988
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
IL

Other

Enumeration date
07/20/2016
Last updated
07/20/2016
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