Individual
DEBORAH EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3759 N RAVENSWOOD AVE, STE 224, CHICAGO, IL 60613-3571
(773) 549-5294
Mailing address
3759 N RAVENSWOOD AVE, STE 224, CHICAGO, IL 60613-3571
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
117373
MO
225200000X
Physical Therapy Assistant
Primary
160002851
IL
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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