Individual
MR. RONALD PAETSCH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14500 S MANISTEE AVE., BURNHAM, IL 60633
(708) 862-1260
Mailing address
14500 S MANISTEE AVE, BURNHAM, IL 60633-2004
(708) 862-1260
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005646
IL
Other
Enumeration date
04/02/2014
Last updated
08/12/2015
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