SearchIllinoisPhysical Therapy Assistant

Shibu Perumbully, PTA

NPI 1346507811 · on the registry since 2012 · sole proprietor

Practice

Address
9725 S Karlov Ave
Oak Lawn, IL 60453
Phone
(708) 422-1461

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois