Individual
MARK ANTHONY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
800 S RIVER RD, DES PLAINES, IL 60016-8419
(847) 294-0100
Mailing address
800 S RIVER RD, DES PLAINES, IL 60016-8419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008451
IL
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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