Individual
JORGE MAURICIO TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
599 PEARSON DR, GENOA, IL 60135-1383
(630) 933-1500
Mailing address
221 S OAK ST, CORTLAND, IL 60112-4080
(815) 981-2996
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009808
IL
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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