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Individual

BRETT WAPOTISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
280 N RANDALL RD, LAKE IN THE HILLS, IL 60156-5903
(847) 854-8219
(847) 854-8278
Mailing address
8937 GRAND AVE, RIVER GROVE, IL 60171-3603
(708) 453-1354
(708) 453-2679

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-016612
IL

Other

Enumeration date
08/14/2008
Last updated
07/06/2010
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