Individual
LISA ZEMAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3709
(815) 788-2000
(815) 356-5262
Mailing address
420 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3709
(815) 788-2000
(815) 356-5262
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160.005132
STATE LICENSE
IL
Enumeration date
10/12/2015
Last updated
10/12/2015
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