Lisa Heswall, PTA
NPI #1972550705 in Bannockburn, Illinois
Provider Information
- NPI Number
- 1972550705
- Entity Type
- Individual
- Name
- Lisa Heswall, PTA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- May 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2101 WAUKEGAN RD
- Address 2
- SUITE 110
- City
- Bannockburn
- State
- Illinois
- ZIP Code
- 60015-1836
- Phone
- (847) 914-0544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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