Jodi Despoy PTA

NPI 1346436821 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1346436821
Gender Female
Enumeration Date 09/19/2007
Last Updated 06/06/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3703 W LAKE AVE STE 200
GLENVIEW IL, 60026-1266, US
Phone (847) 998-1188
Business Location
VALPARAISO IN, 46385-8006, US
Phone (219) 926-8387
Fax (847) 441-0734
Taxonomy Code 225200000X
License State Indiana
License Number 06002871A
Remove 1346436821 NPI Number

According to our database, Ms. Jodi Despoy PTA NPI is 1346436821, taxonomy code is 225200000X and license number is 06002871A, license state is located at Indiana. Jodi Despoy PTA physically located at 3703 W Lake Ave Ste 200, Glenview IL, 60026-1266. NPI Number Jodi Despoy PTA has the Individual type.

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1346436821 NPI number is provided on an as is basis without warranty of any kind. 1346436821 is maintained by the National Plan & Provider Enumeration System. The contents of Jodi Despoy PTA are for informational purposes only.