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Sara Fatima, PTA

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

NPI number1982186722
StatusActive
Last updated in NPPESAug 29, 2018

Details

NPI
1982186722
Entity type
Individual (NPI-1)
Name
Sara Fatima
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 29, 2018
Last updated
Aug 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant160.008061ILYes

Practice location

814 Hillgrove Ave
Western Springs, IL 60558-1439

Phone 708-505-3900

Mailing address

814 Hillgrove Ave
Western Springs, IL 60558-1439

Phone 708-505-3900

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