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Individual

SANDRA MALDONADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 698-5259
Mailing address
5112 MADISON ST, HILLSIDE, IL 60162-1423
(708) 705-4867

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006392
IL

Other

Enumeration date
03/17/2017
Last updated
03/17/2017
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