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Individual

MRS. THERESA A KASICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13020 S CENTRAL AVE, CRESTWOOD, IL 60418-2710
(708) 389-0555
Mailing address
13020 S CENTRAL AVE, CRESTWOOD, IL 60418-2710
(708) 389-0555

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003471
IL

Other

Enumeration date
10/11/2022
Last updated
10/11/2022
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