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Individual

BRIAN A CARRABOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
211 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1696
(708) 679-2890
Mailing address
801 S BRIGGS ST FL 2, JOLIET, IL 60433-9591

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008089
IL

Other

Enumeration date
11/03/2017
Last updated
11/03/2017
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