Individual
MR. ANTHONY THOMAS PAWLISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2160 S. FIRST AVE., MAYWOOD, IL 60153
(708) 327-1144
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-1144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002528
IL
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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