Ciara Dominique Mcnutt, PTA
NPI #1649046673 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1649046673
- Entity Type
- Individual
- Name
- Ciara Dominique Mcnutt, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 30, 2023
- Last Updated
- Nov 30, 2023
Practice Location
- Address
- 20201 CRAWFORD AVE
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461-1010
- Phone
- (708) 852-2540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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