Individual
SARA FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2808 COLFAX ST, EVANSTON, IL 60201-2037
(773) 203-1314
Mailing address
2808 COLFAX ST, EVANSTON, IL 60201-2037
(773) 203-1314
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070010527
IL
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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