Individual
MRS. JUDY L FLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4820 BRYAN PL, DOWNERS GROVE, IL 60515-3624
(630) 724-1983
Mailing address
4820 BRYAN PL, DOWNERS GROVE, IL 60515-3624
(630) 724-1983
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070.006604
IL
Other
Enumeration date
06/09/2011
Last updated
06/29/2011
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