Individual
MACAYLA LENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8434 COCORAN ROAD, WILLOW SPRINGS, IL 60480
(708) 467-0657
Mailing address
8434 COCORAN ROAD, WILLOW SPRINGS, IL 60480
(708) 467-0657
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007854
IL
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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