Individual
MS. MARIOLA TRYBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5246 W GRACE ST FL 2, CHICAGO, IL 60641-3355
(773) 736-3824
Mailing address
5246 W GRACE ST, CHICAGO, IL 60641-3355
(773) 736-3824
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001493
IL
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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