Individual
VICKI COSENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 N 6TH AVE, ADDISON, IL 60101-2407
(630) 750-4988
Mailing address
430 N 6TH AVE, ADDISON, IL 60101-2407
(630) 750-4988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.001161
IL
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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