Individual
MRS. REBECCA LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
1816 170TH ST, HAZEL CREST, IL 60429-1451
(708) 335-4081
Mailing address
16025 APPLEWOOD LN APT 202, ORLAND HILLS, IL 60487-3183
(217) 620-5887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
096000570
IL
225200000X
Physical Therapy Assistant
Primary
1600005684
IL
Other
Enumeration date
04/27/2006
Last updated
08/10/2016
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