Peggy Patricia Fornero PTA

NPI 1023385754 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1023385754
Gender Female
Enumeration Date 11/23/2011
Last Updated 11/23/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2100 S FINLEY RD
LOMBARD IL, 60148-4830, US
Phone (630) 495-4000
Fax
Business Location
1209 HILLCREST LN
WOODRIDGE IL, 60517-7550, US
Phone (630) 985-4585
Fax
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160002352
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According to our database, Mrs. Peggy Patricia Fornero PTA NPI is 1023385754, taxonomy code is 225200000X and license number is 160002352, license state is located at Illinois. Peggy Patricia Fornero PTA physically located at 2100 S Finley Rd, Lombard IL, 60148-4830. NPI Number Peggy Patricia Fornero PTA has the Individual type.

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1023385754 NPI number is provided on an as is basis without warranty of any kind. 1023385754 is maintained by the National Plan & Provider Enumeration System. The contents of Peggy Patricia Fornero PTA are for informational purposes only.