Individual
OHIMAI ASEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21321 KNIGHTBRIDGE CT, MATTESON, IL 60443-2962
(312) 342-5024
Mailing address
21321 KNIGHTBRIDGE CT, MATTESON, IL 60443-2962
(312) 342-5024
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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