Patrice Lassa PTA

NPI 1023015526 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1023015526
Gender Female
Enumeration Date 06/30/2005
Last Updated 05/12/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1634 W OHIO ST # 2
CHICAGO IL, 60622-6036, US
Phone (773) 450-8119
Fax (800) 507-4195
Business Location
1634 W OHIO ST # 2
CHICAGO IL, 60622-6036, US
Phone (773) 450-8119
Fax (800) 507-4195
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160-004014
Remove 1023015526 NPI Number
 

According to our database, Patrice Lassa PTA NPI is 1023015526, taxonomy code is 225200000X and license number is 160-004014, license state is located at Illinois. Patrice Lassa PTA physically located at 1634 W Ohio St # 2, Chicago IL, 60622-6036. NPI Number Patrice Lassa PTA has the Individual type.

Sponsored links

1023015526 NPI number is provided on an as is basis without warranty of any kind. 1023015526 is maintained by the National Plan & Provider Enumeration System. The contents of Patrice Lassa PTA are for informational purposes only.