JUSTIN DE PERALTA

CHICAGO, IL
NPI1023485513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2015-08-31
Last Update Date2016-08-25
Business Address
-- JUSTIN DE PERALTA PT, DPT
820 S DAMEN AVE PM&R RM 2585
CHICAGO, IL 60612-3728
Phone number: 312-569-6637
Mailing Address
-- JUSTIN DE PERALTA PT, DPT
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-6637