Individual
MS. MICHELLE MARY HUSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6002
(847) 477-2144
(630) 909-7151
Mailing address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6002
(847) 477-2144
(630) 909-7151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000542
IL
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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