Individual
ALEJANDRA GODINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
550 E BOUGHTON RD, BOLINGBROOK, IL 60440-2100
(630) 972-0733
Mailing address
6049 S CALIFORNIA AVE, CHICAGO, IL 60629-1531
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009054
IL
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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