Individual
MRS. SALLY PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Mailing address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003392
IL
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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