Donna Nicdao Tia

NPI #1033684030 in Skokie, Illinois

Provider Information

NPI Number: 1033684030
Entity Type: Individual
Name: Donna Nicdao Tia
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 5, 2018
Last Updated: Oct 5, 2018

Practice Location

Address: 8950 BRONX AVE APT 1A
City: Skokie
State: Illinois
ZIP Code: 60077-1919
Phone: (872) 223-8884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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