Individual
MARY J. MASTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6801 HIGH GROVE BLVD, BURR RIDGE, IL 60527-7585
(630) 734-4588
Mailing address
2624 CLARENCE AVE, BERWYN, IL 60402-2776
(708) 795-5770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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