Individual
NICOLE MARIE KARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14319 TWIN CREEK LANE, HOMER GELN, IL 60491
(708) 935-1583
Mailing address
14319 S TWIN CREEK LN, HOMER GLEN, IL 60491-8505
(708) 935-1583
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005943
IL
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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