Individual
MARY THERESE LHOTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1315 MACOM DR STE 103, NAPERVILLE, IL 60564-9360
(630) 585-7337
(630) 585-7333
Mailing address
2040 DUBLIN LN, HANOVER PARK, IL 60133-2910
(734) 883-5700
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
070.019882
IL
2251P0200X
Pediatric Physical Therapist
Primary
070.019882
IL
2251X0800X
Orthopedic Physical Therapist
070.019882
IL
Other
Enumeration date
05/07/2014
Last updated
09/03/2019
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