Mariel De Vera Visconde, RPT

NPI #1629323696 in Zion, Illinois

Provider Information

NPI Number
1629323696
Entity Type
Individual
Name
Mariel De Vera Visconde, RPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
RPT
Enumeration Date
Jul 16, 2012
Last Updated
Oct 13, 2014

Practice Location

Address
3115 LEWIS AVE
City
Zion
ZIP Code
60099-3099
Phone
(847) 746-3752

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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