Individual
MONTEL D'ANDRE VIUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4934 MAIN ST, DOWNERS GROVE, IL 60515-3611
(630) 964-4008
(630) 964-4117
Mailing address
4934 MAIN ST, DOWNERS GROVE, IL 60515-3611
(630) 964-4008
(630) 964-4117
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008041
IL
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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