MRS. Marita Illescas, DPT
NPI #1336975655 in Mooresville, Indiana
Provider Information
- NPI Number
- 1336975655
- Entity Type
- Individual
- Name
- MRS. Marita Illescas, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- Sep 12, 2024
- Last Updated
- Sep 12, 2024
Practice Location
- Address
- 235 E HIGH ST
- City
- Mooresville
- State
- Indiana
- ZIP Code
- 46158-1639
- Phone
- (317) 371-8180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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