Individual
VANESSA VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8317 OGDEN AVE, LYONS, IL 60534-1122
(847) 818-0461
(847) 305-2917
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009943
IL
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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