Thanongsak Sanluecha, PT

NPI #1366991390 in Berwyn, Illinois

Provider Information

NPI Number: 1366991390
Entity Type: Individual
Name: Thanongsak Sanluecha, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 3, 2016
Last Updated: Oct 3, 2016

Practice Location

Address: 7008 CERMAK RD
City: Berwyn
State: Illinois
ZIP Code: 60402-2151
Phone: (708) 795-7040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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