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Individual

ROBERT S AHLGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
387 SPRUCE RD, WOOD DALE, IL 60191-2544
(603) 616-1776
Mailing address
387 SPRUCE RD, WOOD DALE, IL 60191-2544

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003121
IL

Other

Enumeration date
05/07/2009
Last updated
05/07/2009
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