Individual
MRS. MICHELLE KATHLEEN CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1601 BUTTERFIELD TRAIL, KANKAKEE, IL 60901
(815) 936-6500
(815) 936-8965
Mailing address
4560 SE INTERNATIONAL WAY,, STE 100, MILWAUKIE, OR 97222
(971) 206-5102
(971) 206-5211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002817
IL
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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