Individual
RAFAEL SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
512 E OGDEN AVE, WESTMONT, IL 60559-1228
(630) 354-0854
Mailing address
2210 KEMMERER LN, BOLINGBROOK, IL 60490-5038
(708) 901-3005
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006224
IL
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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