Individual
AILEEN BROFAR CUENCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2433
(847) 480-3920
Mailing address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2433
(847) 480-3920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015020
IL
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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