Individual
DE MARIUS DABNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1747 E 95TH ST, CHICAGO, IL 60617-4708
(773) 375-8711
Mailing address
617 BRIARWOOD DR, CENTRALIA, IL 62801-4462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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