Individual
KIRSTEN FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 WAUKEGAN RD STE 100, MORTON GROVE, IL 60053-2128
(847) 779-6050
(847) 929-1167
Mailing address
900 RAND RD, SUITE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
02/22/2021
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