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1023485513
JUSTIN DE PERALTA
CHICAGO, IL
NPI
1023485513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2015-08-31
Last Update Date
2016-08-25
Business Address
-- JUSTIN DE PERALTA PT, DPT
820 S DAMEN AVE PM&R RM 2585
CHICAGO, IL 60612-3728
Phone number: 312-569-6637
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Mailing Address
-- JUSTIN DE PERALTA PT, DPT
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-6637
Copy
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