Individual
DANA BUKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1864 HIGH GROVE LN STE 122, NAPERVILLE, IL 60540-9213
(630) 375-9202
Mailing address
3575 FAIRFAX CT W, AURORA, IL 60504-6167
(630) 375-9202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006496
IL
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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