Edward Moline
Edward Moline is a Physical Therapy Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
1969 W Ogden AveChicago, IL 60612-3773
Phone: (312) 864-3655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 160009368 (IL) |
|---|
Record details
| NPI number | 1437978723 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 4, 2024 |
| Last updated in NPPES | October 4, 2024 |
| Certification date | October 4, 2024 |
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