Individual
DAVID JOHN GUZMAN NULUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2655 W PETERSON AVE, CHICAGO, IL 60659-4017
(773) 942-6528
(773) 293-6550
Mailing address
2655 W PETERSON AVE, CHICAGO, IL 60659-4017
(773) 942-6528
(773) 293-6550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009445
IL
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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