MR. KEATON KOROSEC
Physical Therapy Assistant
Active
Individual
NPI: 1205691862
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 160007677 (IL) |
Frequently Asked Questions
NPI 1205691862 is the National Provider Identifier for MR. KEATON KOROSEC, a Physical Therapy Assistant provider located in Freeport, IL. This NPI was enumerated on February 13, 2024.
MR. KEATON KOROSEC practices at 1838 VALLEYVIEW DR, Freeport, IL 61032.
Quick Facts
- NPI
- 1205691862
- Type
- Individual
- Enumerated
- Feb 13, 2024
- Last Updated
- Feb 13, 2024
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