MR. Keaton T Korosec

NPI #1205691862 in Freeport, Illinois

Provider Information

NPI Number: 1205691862
Entity Type: Individual
Name: MR. Keaton T Korosec
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 13, 2024
Last Updated: Feb 13, 2024

Practice Location

Address: 1838 VALLEYVIEW DR
City: Freeport
State: Illinois
ZIP Code: 61032-3614
Phone: (815) 291-8780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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