Individual
PATRICE LASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1634 W OHIO ST # 2, CHICAGO, IL 60622-6036
(773) 450-8119
(800) 507-4195
Mailing address
1634 W OHIO ST # 2, CHICAGO, IL 60622-6036
(773) 450-8119
(800) 507-4195
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-004014
IL
Other
Enumeration date
06/30/2005
Last updated
05/12/2015
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