Individual
MISS KIMBERLY KAY DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2433
(847) 480-3920
(847) 480-2738
Mailing address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2433
(847) 480-3920
(847) 480-2738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.001930
IL
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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