Individual
JESSICA AVILA-MERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8700 31ST ST, BROOKFIELD, IL 60513-1000
(708) 485-1155
Mailing address
6334 W 85TH ST, BURBANK, IL 60459-2415
(708) 222-9354
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009500
IL
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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