Individual
LENA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 MISSION HILLS RD APT 212, NORTHBROOK, IL 60062-5743
(773) 742-1148
Mailing address
1740 MISSION HILLS RD APT 212, NORTHBROOK, IL 60062-5743
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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