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1194083766
JOSEPH PANTANO
CHICAGO, IL
NPI
1194083766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.005208)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- JOSEPH PANTANO pta
13002 S BRANDON AVE
CHICAGO, IL 60633-1321
Phone number: 269-930-3031
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Mailing Address
-- JOSEPH PANTANO pta
13002 S BRANDON AVE
CHICAGO, IL 60633-1321
Phone number: 269-930-3031
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