Individual
KEROLES HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14255 CICERO AVE, CRESTWOOD, IL 60418-2154
(708) 371-0400
Mailing address
14255 CICERO AVE, CRESTWOOD, IL 60418-2154
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008306
IL
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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