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Individual

MRS. CLARE ANNE WHALEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
52 CODORUS RD, MONTGOMERY, IL 60538-2519
(630) 896-5876
(630) 896-5876
Mailing address
52 CODORUS RD, MONTGOMERY, IL 60538-2519
(630) 896-5876
(630) 896-5876

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002560
IL

Other

Enumeration date
09/03/2008
Last updated
09/03/2008
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