Individual
CAROL MARIE ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 352-6900
Mailing address
5808 ROSEMARY CT, COUNTRYSIDE, IL 60525-4001
(708) 352-6002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.001160
IL
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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