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Individual

ROSELIN TOJEN LUKOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6919 W 113TH ST, WORTH, IL 60482-2022
(708) 745-1520
Mailing address
6919 W 113TH ST, WORTH, IL 60482-2022
(708) 745-1520

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007106
IL

Other

Enumeration date
04/02/2016
Last updated
04/02/2016
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