MRS. Andrea L Didenko, PTA

NPI #1982878955 in Glenview, Illinois

Provider Information

NPI Number: 1982878955
Entity Type: Individual
Name: MRS. Andrea L Didenko, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Apr 21, 2008
Last Updated: Apr 21, 2008

Practice Location

Address: 3703 W LAKE AVE
Address 2: SUITE 200
City: Glenview
State: Illinois
ZIP Code: 60026-5823
Phone: (847) 998-1188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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