Individual
HOLLY JEAN ILG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-8111
Mailing address
169 EVERGREEN TRL, BEAVER FALLS, PA 15010-1174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019970
PA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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