Individual
DIANE M CYMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8949 GLENSHIRE ST, TINLEY PARK, IL 60487-4417
(708) 478-7052
Mailing address
8949 GLENSHIRE ST, TINLEY PARK, IL 60487-4417
(708) 478-7052
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000516
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000516
PTA
IL
Enumeration date
04/20/2020
Last updated
04/22/2020
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