Individual
MICHELLE PLASTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4520 ZEPPELIN DR, HANOVER PARK, IL 60133-5955
(312) 550-1462
Mailing address
4520 ZEPPELIN DR, HANOVER PARK, IL 60133-5955
(312) 550-1462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1760-19
WI
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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