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Individual

SAMPADA THATTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
219 PARKWAY DR, WHEATON, IL 60187-3651
(630) 528-2070
Mailing address
2535 BODDINGTON LN, NAPERVILLE, IL 60564-9487
(630) 806-5564

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006437
IL

Other

Enumeration date
02/17/2020
Last updated
02/17/2020
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