Individual
CARISSA ANNE JALBUENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7849 BROOKSIDE GLEN DR, TINLEY PARK, IL 60477-5165
(773) 459-4295
Mailing address
7849 BROOKSIDE GLEN DR, TINLEY PARK, IL 60477-5165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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