Nicholas Formica, PTA

NPI #1679388060 in Oak Lawn, Illinois

Provider Information

NPI Number
1679388060
Entity Type
Individual
Name
Nicholas Formica, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Physical Therapy
Credential
PTA
Enumeration Date
Feb 11, 2025
Last Updated
Feb 11, 2025

Practice Location

Address
4061 W 95TH ST
ZIP Code
60453-2611
Phone
(630) 469-9200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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