Trevissa Martis

NPI #1457703282 in La Grange, Illinois

Provider Information

NPI Number: 1457703282
Entity Type: Individual
Name: Trevissa Martis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 5, 2016
Last Updated: Jul 5, 2016

Practice Location

Address: 4735 WILLOW SPRINGS RD
City: La Grange
State: Illinois
ZIP Code: 60525-6130
Phone: (708) 352-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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