Individual
STEVEN ILG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1200 SHARON RD, BEAVER, PA 15009-3148
(724) 728-4545
Mailing address
136 1/2 W 4TH ST, APT A, EAST LIVERPOOL, OH 43920-4528
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002441L
PA
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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