Individual
GALINA MARTIROSYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
10047 LAMON AVE, SKOKIE, IL 60077-1001
(847) 997-5304
Mailing address
10047 LAMON AVE, SKOKIE, IL 60077-1001
(847) 997-5304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070009820
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070009820
LICENSE
IL
Enumeration date
02/09/2007
Last updated
03/27/2015
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