Individual
MRS. MARY CHRISTINE MASUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
1175 KINNE CIRCLE, BATAVIA, IL 60510-4556
(630) 406-0825
Mailing address
1175 KINNE CIR, BATAVIA, IL 60510-4556
(630) 406-0825
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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