Individual
HOLLY EVE MANDZIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9253 BARBERRY LN, DES PLAINES, IL 60016-4206
(847) 297-2461
Mailing address
9253 BARBERRY LN, DES PLAINES, IL 60016-4206
(847) 297-2461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.011041
IL
2251X0800X
Orthopedic Physical Therapist
070.011041
IL
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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