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Christopher Noche De Leon, PTA

Physical Therapy Assistant in Gurnee, IL. Individual provider (NPI-1).

NPI number1407296643
StatusActive
Last updated in NPPESJul 2, 2013

Details

NPI
1407296643
Entity type
Individual (NPI-1)
Name
Mr. Christopher Noche De Leon
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Jul 2, 2013
Last updated
Jul 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant160005954ILYes

Practice location

2074 Madison Ave
Gurnee, IL 60031-6301

Phone 773-982-1106

Mailing address

16089 Poppyseed Cir Unit 2008
Delray Beach, FL 33484-6314

Phone 561-496-7993

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