Individual
CAROL ANN VYSOCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10033 COOK AVE, OAK LAWN, IL 60453-3832
(708) 424-7393
Mailing address
10033 COOK AVE, OAK LAWN, IL 60453-3832
(708) 424-7393
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.000686
IL
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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