Individual
ASHLEY TERESIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 E RICHTON RD, CRETE, IL 60417-1623
(708) 567-3189
Mailing address
11721 HARVEST HILL CT, ORLAND PARK, IL 60467-7564
(708) 479-0795
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008512
IL
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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