Individual
MA.CORAZON CLARITO MAGTIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 E LAKE ST, BLOOMINGDALE, IL 60108-1104
(630) 295-8600
Mailing address
840 FOXWORTH BLVD APT 311, LOMBARD, IL 60148-4897
(630) 290-0215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008523
IL
Other
Enumeration date
06/29/2019
Last updated
06/29/2019
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