MRS. Theresa Marie Mccollom, PTA
NPI #1366695405 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1366695405
- Entity Type
- Individual
- Name
- MRS. Theresa Marie Mccollom, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 3, 2008
- Last Updated
- Feb 26, 2022
Practice Location
- Address
- 17800 KEDZIE AVE
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-2029
- Phone
- (708) 213-3829
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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