Jesus Roman, PTA

NPI #1366899346 in Oak Forest, Illinois

Provider Information

NPI Number: 1366899346
Entity Type: Individual
Name: Jesus Roman, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 19, 2016
Last Updated: May 19, 2016

Practice Location

Address: 6006 159TH ST BLDG A
City: Oak Forest
State: Illinois
ZIP Code: 60452-2904
Phone: (708) 535-9242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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