Individual
ALLA GLANTSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
1865 E BELVIDERE RD, GRAYSLAKE, IL 60030-2218
(224) 338-6957
Mailing address
3011 CHERRY LN, NORTHBROOK, IL 60062-4313
(847) 322-1902
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007690
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160007690
PROFESSIONAL PTA LICENSE
IL
Enumeration date
08/21/2020
Last updated
08/21/2020
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