Individual
CARLO AUSTRIA BUQUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
1301 W FLETCHER ST, APT 227, CHICAGO, IL 60657-3247
(312) 493-0637
Mailing address
1301 W FLETCHER ST, APT 227, CHICAGO, IL 60657-3247
(312) 493-0637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005081
IL
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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