Individual
MR. JOHN PETER SLAUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6801 HIGH GROVE BLVD, BURR RIDGE, IL 60527-7585
(630) 920-2900
(630) 920-2453
Mailing address
6600 S BRAINARD AVE, 109, COUNTRYSIDE, IL 60525-4667
(708) 482-3027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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