Individual
AIME MARANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
839 DODGE AVE, EVANSTON, IL 60202-1552
(847) 859-6384
Mailing address
1309 OAK AVE APT 1S, EVANSTON, IL 60201-4246
(407) 257-2572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.021372
IL
Other
Enumeration date
07/25/2016
Last updated
06/16/2020
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