Individual
VIKTORIYA STUPNYTSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1666 CHECKER RD, LONG GROVE, IL 60047-5289
(847) 419-1111
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007009
IL
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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