SABINA JOLANTA BOIES

MIDWAY, UT
NPI1386017945
Former NameSABINA JOLANTA MONIUSZKO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  11375A)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: UT  8719908-2402)
225200000X Physical Therapy Assistant
(Licence: IL  160.006231)
Enumeration Date2015-11-04
Last Update Date2015-11-04
Business Address
-- SABINA JOLANTA BOIES
1420 W GENEVA DR
MIDWAY, UT 84049
Phone number: 847-638-0639
Mailing Address
-- SABINA JOLANTA BOIES
PO BOX 814 1420 W GENEVA DR
MIDWAY, UT 84049
Phone number: 847-638-0639