MR. Federico C Dagan JR., PTA

NPI #1881239564 in Mt Prospect, Illinois

Provider Information

NPI Number: 1881239564
Entity Type: Individual
Name: MR. Federico C Dagan JR., PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 17, 2019
Last Updated: Nov 17, 2019

Practice Location

Address: 2380 S ELMHURST RD # 100
City: Mt Prospect
State: Illinois
ZIP Code: 60056-5805
Phone: (847) 786-2014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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