Individual
MICHAEL FLORENTINO MITAROTONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
2433 N RIDGEWAY AVE, CHICAGO, IL 60647-2324
(773) 879-2506
Mailing address
2433 N RIDGEWAY AVE, CHICAGO, IL 60647-2324
(773) 879-2506
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001922
IL
Other
Enumeration date
01/04/2009
Last updated
01/04/2009
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