Individual
MS. JODI DESPOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3703 W LAKE AVE STE 200, GLENVIEW, IL 60026-1266
(847) 998-1188
Mailing address
279 SCOTSCRAIG DR, VALPARAISO, IN 46385-8006
(219) 926-8387
(847) 441-0734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002871A
IN
Other
Enumeration date
09/19/2007
Last updated
06/06/2013
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