Carlo Austria Buquiz P.T.A.

NPI 1538499462 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1538499462
Gender Male
Enumeration Date 12/24/2009
Last Updated 12/24/2009
Entity Type Individual
Active Over 6 years ago
Practice Location
1301 W FLETCHER ST
APT 227
CHICAGO IL, 60657-3247, US
Phone (312) 493-0637
Fax
Business Location
1301 W FLETCHER ST
APT 227
CHICAGO IL, 60657-3247, US
Phone (312) 493-0637
Fax
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160.005081
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According to our database, Carlo Austria Buquiz P.T.A. NPI is 1538499462, taxonomy code is 225200000X and license number is 160.005081, license state is located at Illinois. Carlo Austria Buquiz P.T.A. physically located at 1301 W Fletcher St, Chicago IL, 60657-3247. NPI Number Carlo Austria Buquiz P.T.A. has the Individual type.

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1538499462 NPI number is provided on an as is basis without warranty of any kind. 1538499462 is maintained by the National Plan & Provider Enumeration System. The contents of Carlo Austria Buquiz P.T.A. are for informational purposes only.