Individual
KATHLEEN BORON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
515 CARDINAL AVENUE, OSWEGO, IL 60543-7765
(630) 554-1126
Mailing address
515 CARDINAL AVE, OSWEGO, IL 60543-7765
(630) 554-1126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003726
IL
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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