Individual
CRYSTAL BARTUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11531 SWINFORD LN, MOKENA, IL 60448-9274
(219) 229-0322
Mailing address
14550 AVERS AVE, MIDLOTHIAN, IL 60445-2812
(708) 768-7165
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005775
IL
Other
Enumeration date
09/15/2011
Last updated
09/16/2011
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