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Ashley Teresiak

Physical Therapy Assistant in Crete, IL. Individual provider (NPI-1).

NPI number1629617618
StatusActive
Last updated in NPPESDec 23, 2019

Details

NPI
1629617618
Entity type
Individual (NPI-1)
Name
Ashley Teresiak
Sex
Female
Sole proprietor
No
Enumeration date
Dec 23, 2019
Certification date
Dec 23, 2019
Last updated
Dec 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant160008512ILYes

Practice location

1251 E Richton Rd
Crete, IL 60417-1623

Phone 708-567-3189

Mailing address

11721 Harvest Hill Ct
Orland Park, IL 60467-7564

Phone 708-479-0795

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