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Ivana Dvorakova

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

NPI number1851986293
StatusActive
Last updated in NPPESMar 8, 2021

Details

NPI
1851986293
Entity type
Individual (NPI-1)
Name
Ivana Dvorakova
Sex
Female
Sole proprietor
No
Enumeration date
Mar 8, 2021
Certification date
Mar 8, 2021
Last updated
Mar 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant160001177ILYes

Practice location

2031 Middleton Dr
Wheaton, IL 60189-8152

Phone 630-518-1816

Mailing address

2031 Middleton Dr
Wheaton, IL 60189-8152

Phone 630-518-1861

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