Individual
CLAUDIA DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 GROVE AVE, BERWYN, IL 60402-1224
(708) 205-8013
Mailing address
1434 GROVE AVE, BERWYN, IL 60402-1224
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
225200000X
Physical Therapy Assistant
Primary
160009635
IL
Other
Enumeration date
12/01/2016
Last updated
02/01/2023
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