Individual
THERESA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
71 W 156TH ST, SUITE 208, HARVEY, IL 60426
(708) 331-6669
(708) 333-9902
Mailing address
4501 N WINCHESTER AVE, 3RD FL, CHICAGO, IL 60640
(773) 250-0500
(773) 250-0497
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003451
IL
Other
Enumeration date
05/17/2006
Last updated
12/18/2008
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