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Individual

ANNA ZAWIERTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
10903 FRANK LN, ORLAND PARK, IL 60467-4581
(177) 330-6641
Mailing address
10903 FRANK LN, ORLAND PARK, IL 60467-4581

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017682
IL
225200000X
Physical Therapy Assistant
160003433
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103034
IL
Enumeration date
03/19/2007
Last updated
05/15/2015
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