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Individual

GABRIELLA MARIE DANTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4061 W 95TH ST, OAK LAWN, IL 60453-2611
(708) 690-6639
Mailing address
540 W FAY AVE, ELMHURST, IL 60126-2149

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009948
IL

Other

Enumeration date
09/01/2023
Last updated
09/01/2023
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