Individual
MAYRA PLUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
605 S EDWARD DR, ROMEOVILLE, IL 60446-6507
(630) 863-7772
Mailing address
605 EDWARD DR, ROMEOVILLE, IL 60446-6507
(630) 863-7772
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002963
IL
Other
Enumeration date
03/13/2007
Last updated
04/29/2015
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