Individual
DR. ABIGAIL A MISENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1611 W HARRISON ST STE 107, CHICAGO, IL 60612-4861
(877) 632-6637
(708) 409-5179
Mailing address
1611 W HARRISON ST STE 107, CHICAGO, IL 60612-4861
(877) 632-6637
(708) 409-5179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070026583
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
SPORTS
—
Enumeration date
03/20/2021
Last updated
10/31/2022
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