Individual
BERENICE SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA,CI,CKTP
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Mailing address
2316 S 16TH AVE, BROADVIEW, IL 60155-4014
(708) 296-3103
(708) 366-0179
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005173
IL
Other
Enumeration date
06/27/2010
Last updated
06/27/2010
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