MRS. Selena Kay Tado, LPT

NPI #1588789309 in Huntley, Illinois

Provider Information

NPI Number: 1588789309
Entity Type: Individual
Name: MRS. Selena Kay Tado, LPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LPT
Enumeration Date: Mar 20, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 10436 ROUTE 47
Address 2: SUITE 105
City: Huntley
State: Illinois
ZIP Code: 60142
Phone: (847) 515-3366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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