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Individual

MRS. GINA GIOVANNA SANFRATELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
6729 W 64TH PL, CHICAGO, IL 60638-4837
(773) 586-4246
Mailing address
6729 W 64TH PL, CHICAGO, IL 60638-4837
(773) 586-4246

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005561
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160.005561
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
11/20/2010
Last updated
11/20/2010
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