Individual
DINA PETRICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
127 W PROSPECT AVE, MT PROSPECT, IL 60056-3135
(847) 255-2348
(847) 255-0308
Mailing address
127 W PROSPECT AVE, MT PROSPECT, IL 60056-3135
(847) 255-2348
(847) 255-0308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-009748
IL
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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