Individual
MELISSA KIRSTIE CRUZ DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 852-2540
(708) 503-3221
Mailing address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 852-2540
(708) 503-3221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008545
IL
Other
Enumeration date
06/15/2022
Last updated
06/17/2022
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