Individual
DEBRA J JONATHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
5908 N LEONARD AVE, CHICAGO, IL 60646-5518
(773) 576-0092
Mailing address
5908 N LEONARD AVE, CHICAGO, IL 60646-5518
(773) 576-0092
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.000409
IL
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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