Individual
BERNADETTE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3313 VOLLMER RD, FLOSSMOOR, IL 60422-2003
(708) 957-5304
Mailing address
818 CENTRAL AVE, MATTESON, IL 60443-1545
(708) 720-2591
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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