Individual
DONNA NICDAO TIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 BRONX AVE APT 1A, SKOKIE, IL 60077-1919
(872) 223-8884
Mailing address
8950 BRONX AVE APT 1A, SKOKIE, IL 60077-1919
(872) 223-8884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019809
IL
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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