MR. Jonathan Casabal, PTA

NPI #1912364928 in Chicago Ridge, Illinois

Provider Information

NPI Number: 1912364928
Entity Type: Individual
Name: MR. Jonathan Casabal, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 21, 2016
Last Updated: Jan 21, 2016

Practice Location

Address: 10300 SOUTHWEST HWY
City: Chicago Ridge
State: Illinois
ZIP Code: 60415-1426
Phone: (708) 425-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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