Individual
WANASINGHE JAYASENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
211 WAUKEGAN RD, STE 300, NORTHFIELD, IL 60093-2757
(847) 724-7600
Mailing address
211 WAUKEGAN RD, STE 300, NORTHFIELD, IL 60093-2757
(847) 724-7600
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
070009093
IL
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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