Individual
DESIREE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1143 OAK ST, NORTH AURORA, IL 60542-2060
(630) 907-9911
Mailing address
1143 OAK ST, NORTH AURORA, IL 60542-2060
(630) 907-9911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.022604
IL
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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