Individual
ELLYN MORITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5369
Mailing address
18629 MAIN ST, MOKENA, IL 60448-8786
(708) 336-8097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070020947
IL
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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