DOMINGO BALTAZAR

CHICAGO, IL
NPI1336437375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2011-07-12
Last Update Date2011-07-12
Business Address
-- DOMINGO BALTAZAR PTA
901 S AUSTIN BLVD
CHICAGO, IL 60644-5311
Phone number: 773-287-9181
Mailing Address
-- DOMINGO BALTAZAR PTA
901 S AUSTIN BLVD
CHICAGO, IL 60644-5311
Phone number: 773-287-9181
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