Individual
MISS BERTINA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9826 S WESTERN AVE, EVERGREEN PARK, IL 60805-3200
(708) 952-8220
(708) 423-5281
Mailing address
15716 LINCOLN AVE, HARVEY, IL 60426-4136
(708) 527-7064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005044
IL
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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