Individual
MABEL MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3059 W 26TH ST, CHICAGO, IL 60623-4131
(773) 696-9050
Mailing address
3059 W 26TH ST, CHICAGO, IL 60623-4131
(773) 696-9050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006065
IL
Other
Enumeration date
10/03/2013
Last updated
04/07/2014
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