Individual
MANUEL HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1550 N RANDALL RD, ELGIN, IL 60123-7876
(815) 569-6355
Mailing address
317 VILLA RD, STREAMWOOD, IL 60107-1745
(224) 772-4490
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.010086
IL
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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