Individual
MR. NITUL THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
56 HUMMINGBIRD LN, STREAMWOOD, IL 60107-3354
(847) 322-6601
Mailing address
56 HUMMINGBIRD LN, STREAMWOOD, IL 60107-3354
(847) 322-6601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004487
IL
225200000X
Physical Therapy Assistant
9369
CA
Other
Enumeration date
06/24/2011
Last updated
08/08/2012
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