MRS. THERESA MCCOLLOM, PTA

Physical Therapy Assistant

Active Individual
NPI: 1366695405

Practice Address

17800 KEDZIE AVE
Hazel Crest, IL 60429

Phone: (708) 213-3829

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 160005041 (IL)

Frequently Asked Questions

NPI 1366695405 is the National Provider Identifier for MRS. THERESA MCCOLLOM, PTA, a Physical Therapy Assistant provider located in Hazel Crest, IL. This NPI was enumerated on November 3, 2008.
MRS. THERESA MCCOLLOM, PTA practices at 17800 KEDZIE AVE, Hazel Crest, IL 60429.

Quick Facts

NPI
1366695405
Type
Individual
Enumerated
Nov 3, 2008
Last Updated
Feb 26, 2022

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