Individual
MRS. TERESA ANN WALUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13751 W CHICAGO BLOOMINGTON TRL, HOMER GLEN, IL 60491-6116
(815) 485-4744
Mailing address
13751 W CHICAGO BLOOMINGTON TRL, HOMER GLEN, IL 60491-6116
(815) 485-4744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003292
IL
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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