Individual
SANDIE MARIA OLVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6212 N CICERO AVE APT 1D, CHICAGO, IL 60646-4962
(708) 945-1000
Mailing address
6212 N CICERO AVE APT 1D, CHICAGO, IL 60646-4962
(708) 945-1000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007165
IL
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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