Individual
MRS. CAROL ANN JURCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
4390 ROUTE 71, OSWEGO, IL 60543-9866
(630) 554-1001
(630) 554-1668
Mailing address
4390 ROUTE 71, OSWEGO, IL 60543-9866
(630) 554-1001
(630) 554-1668
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003372
IL
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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