Individual
ANGELA S KISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3815 E MAIN ST, SUITE B, ST CHARLES, IL 60174-2488
(630) 584-7530
Mailing address
70 AUGUSTA CT, GLENDALE HEIGHTS, IL 60139-1820
(630) 893-0729
(630) 584-7762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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