Individual
PETER LOUIE MAGPAYO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5255 N RIVERSEDGE TER APT 210, CHICAGO, IL 60630-1745
(312) 399-1842
Mailing address
5255 N RIVERSEDGE TER APT 210, CHICAGO, IL 60630-1745
(312) 399-1842
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008648
IL
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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