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Kristopher D Harrison, Physical Therapy

Physical Therapist in Diamond, IL. Individual provider (NPI-1).

NPI number1679679187
StatusActive
Last updated in NPPESNov 29, 2016

Details

NPI
1679679187
Entity type
Individual (NPI-1)
Name
Mr. Kristopher D Harrison
Credential
Physical Therapy
Sex
Male
Sole proprietor
No
Enumeration date
Sep 15, 2006
Last updated
Nov 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist070013745ILYes

Practice location

2595 E Division St
Diamond, IL 60416-9794

Phone 815-634-8420 · Fax 815-634-8430

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Phone 630-296-2222 · Fax 630-759-9510

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