Individual
DANA LYNN SLABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10510 VENTURA BLVD, MACHESNEY PARK, IL 61115-1263
(815) 979-1711
Mailing address
10510 VENTURA BLVD, MACHESNEY PARK, IL 61115-1263
(815) 979-1711
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070012088
IL
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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