Individual
TANIA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 CAROUSEL CT, JOLIET, IL 60435-7902
(773) 213-3366
Mailing address
1911 CAROUSEL CT, JOLIET, IL 60435-7902
(773) 213-3366
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
160.006412
IL
225200000X
Physical Therapy Assistant
Primary
160006412
IL
Other
Enumeration date
08/03/2013
Last updated
10/17/2024
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