Individual
COURTNEY HUISENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
19015 S JODI RD, SUITE A, MOKENA, IL 60448-8514
(708) 478-1414
Mailing address
19015 S JODI RD, SUITE A, MOKENA, IL 60448-8514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007303
IL
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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