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Individual

MS. DEBRA PAUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
180 W HALF DAY RD, BUFFALO GROVE, IL 60089-6552
(847) 383-5826
Mailing address
565 LINCOLN AVE, GRAYSLAKE, IL 60030-2426
(847) 828-9162

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.001466
IL

Other

Enumeration date
08/03/2015
Last updated
08/03/2015
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