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Individual

DAWN GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2615 HARRISON ST, BELLWOOD, IL 60104-2450
(708) 493-0199
(708) 493-9683
Mailing address
2615 HARRISON ST, BELLWOOD, IL 60104-2450
(708) 493-0199
(708) 493-9683

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
160004372
IL
225200000X
Physical Therapy Assistant
Primary
160004372
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160004372
LICENSE
IL
Enumeration date
01/05/2009
Last updated
10/31/2017
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