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Individual

AMIRA DEMITRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
10233 W ROOSEVELT RD, WESTCHESTER, IL 60154-2518
(708) 938-5238
(708) 938-5239
Mailing address
430 HOMESTEAD RD, APT 3, LA GRANGE PARK, IL 60526-2158
(850) 319-6630

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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