SearchIllinois225200000X

Casey Venard, PTA

NPI 1891421475 · on the registry since 2022 · sole proprietor

Practice

Address
209 Dorothy Ct
Island Lake, IL 60042
Phone
(847) 903-4080

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-27

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