Individual
JESSICA LOUISE KUDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1715 DEKALB AVE, SYCAMORE, IL 60178-2751
(815) 991-5760
Mailing address
16230 S HOWARD ST, PLAINFIELD, IL 60586-2345
(815) 210-2501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008551
IL
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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