Kathleen Boron, PTA

NPI #1770878613 in Oswego, Illinois

Provider Information

NPI Number: 1770878613
Entity Type: Individual
Name: Kathleen Boron, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 17, 2011
Last Updated: Jun 17, 2011

Practice Location

Address: 515 CARDINAL AVENUE
City: Oswego
State: Illinois
ZIP Code: 60543-7765
Phone: (630) 554-1126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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