Individual
DONNA BAGDASARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1765 N ELSTON AVE, CHICAGO, IL 60642-1501
(847) 508-8677
Mailing address
1765 N ELSTON AVE, CHICAGO, IL 60642-1501
(847) 508-8677
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070025331
IL
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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