Individual
MS. CASSANDRA DOCKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3 ERIE CT, 2 SOUTH OUTPATIENT PHYSICALTHERAPY, OAK PARK, IL 60302-2519
(708) 763-1318
(708) 383-1029
Mailing address
3 ERIE CT, 2 SOUTH OUTPATIENT PHYSICAL THERAPY, OAK PARK, IL 60302-2519
(708) 763-1318
(708) 383-1029
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003335
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160003335
PTA STATE OF ILLINOIS LICENSE NO
IL
Enumeration date
06/01/2009
Last updated
06/01/2009
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