Individual
SARA FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
814 HILLGROVE AVE, WESTERN SPRINGS, IL 60558-1439
(708) 505-3900
Mailing address
814 HILLGROVE AVE, WESTERN SPRINGS, IL 60558-1439
(708) 505-3900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008061
IL
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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