Individual
MR. HEATHER R. PARTOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
484 GRAY AVE, ELBURN, IL 60119-9411
(630) 365-3817
Mailing address
484 GRAY AVE, ELBURN, IL 60119-9411
(630) 365-3817
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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