Individual
THOMAS A PETERS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
420 THATCHER AVE, RIVER FOREST, IL 60305-1635
(708) 427-3650
Mailing address
4318 N SPAULDING AVE # 2, CHICAGO, IL 60618-1237
(773) 899-0831
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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