Individual
AVI PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 CEDAR ST, NORWALK, IA 50211-9736
(877) 407-3422
(877) 407-4329
Mailing address
24 S SUNNYSLOPE AVE, PASADENA, CA 91107-4359
(760) 987-3584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018439
IL
Other
Enumeration date
04/27/2015
Last updated
04/28/2025
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