Individual
CLARA M SELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11215 W 159TH ST, ORLAND PARK, IL 60467-4416
(773) 938-8500
(773) 938-8501
Mailing address
33900 HARPER AVE STE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009938
IL
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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