JESSICA FULGENCIO

ORLAND PARK, IL
NPI1245619204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160006542)
Enumeration Date2015-05-23
Last Update Date2015-05-23
Business Address
-- JESSICA FULGENCIO
16170 KINGSPORT RD
ORLAND PARK, IL 60467-5602
Phone number: 708-326-1550
Mailing Address
-- JESSICA FULGENCIO
5636 W 35TH ST APT 6
CICERO, IL 60804-4333
Phone number: 708-374-3882