Individual
BAYRNADETTE HUMILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 MARY SENICA CT, LA SALLE, IL 61301-9659
(714) 253-6358
Mailing address
50 MARY SENICA CT, LA SALLE, IL 61301-9659
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070020351
IL
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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