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Individual

MAHASWETA M THAKKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
165 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1434
(630) 980-8700
Mailing address
1553 YELLOWSTONE DR, STREAMWOOD, IL 60107-3394
(630) 608-2040

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005291
IL

Other

Enumeration date
07/02/2014
Last updated
07/02/2014
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