Individual
SANDRA MAGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612
(312) 864-6000
Mailing address
1323 W 19TH ST, CHICAGO, IL 60608-5155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009656
IL
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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