Individual
MS. CIARA LATRICE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12149 S EGGLESTON AVE, CHICAGO, IL 60628-6305
(773) 995-6958
Mailing address
12149 S EGGLESTON AVE, CHICAGO, IL 60628-6305
(773) 995-6958
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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