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Valene Monique Landeros

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

NPI number1902442007
StatusActive
Last updated in NPPESNov 23, 2019

Details

NPI
1902442007
Entity type
Individual (NPI-1)
Name
Valene Monique Landeros
Sex
Female
Sole proprietor
No
Enumeration date
Nov 23, 2019
Last updated
Nov 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant160006979ILYes

Practice location

310 N Loomis St
Chicago, IL 60607-1147

Phone 312-243-8487

Mailing address

310 N Loomis St
Chicago, IL 60607-1147

Phone 312-243-8487

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