Individual
JILL TELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3804 PETRA CT., NAPERVILLE, IL 60564
(630) 248-8581
Mailing address
3804 PETRA CT., NAPERVILLE, IL 60564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006149
IL
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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