Individual
DANIEL JODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT. MPT
Contact information
Practice address
12400 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1440
(708) 671-0771
Mailing address
12400 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1440
(708) 671-0771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070018212
IL
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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