Mr. Keaton T Korosec
Mr. Keaton T Korosec is a Physical Therapy Assistant in Freeport, Illinois. Licensed in Illinois. Registered with an NPI since 2024.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
1838 Valleyview DrFreeport, IL 61032-3614
Phone: (815) 291-8780
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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 160007677 (IL) |
|---|
Record details
| NPI number | 1205691862 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 13, 2024 |
| Last updated in NPPES | February 13, 2024 |
| Certification date | February 13, 2024 |
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-
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