Individual
MELISSA ANN VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6731 N ROCKWELL ST, CHICAGO, IL 60645-4625
(773) 355-8889
Mailing address
6731 N ROCKWELL STREET, CHICAGO, IL 60645
(773) 355-8889
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007334
IL
225700000X
Massage Therapist
227.010334
IL
Other
Enumeration date
10/17/2011
Last updated
07/21/2022
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