Individual
MARIE A KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 E US ROUTE 6, MORRIS, IL 60450-8967
(815) 416-0046
(815) 416-0150
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001204
IL
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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