JACOB DANIEL LEDESMA

BOURBONNAIS, IL
NPI1326648023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070025487)
Enumeration Date2020-10-30
Last Update Date2021-08-18
Business Address
Dr. JACOB DANIEL LEDESMA PT, DPT
588 WILLIAM R LATHAM SENIOR DR STE 5
BOURBONNAIS, IL 60914
Phone number: 815-937-0446
Mailing Address
Dr. JACOB DANIEL LEDESMA PT, DPT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 914-294-4050