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Individual

TRAVIS MATTHEW RICHMILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10400 S ROBERTS RD, PALOS HILLS, IL 60465-1972
(708) 443-7400
Mailing address
7650 DEERFIELD AVE, WOODRIDGE, IL 60517-2840
(217) 506-9048

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008961
IL

Other

Enumeration date
12/08/2020
Last updated
12/08/2020
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