Individual
MS. CARLEY JEAN KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 383-6200
Mailing address
1526 W BELLE PLAINE AVE, UNIT 2, CHICAGO, IL 60613-1857
(513) 312-2585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.020315
IL
225100000X
Physical Therapist
PT. 014431
OH
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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