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1447437694
MARY J. MASTNY
BURR RIDGE, IL
NPI
1447437694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160 002515)
Enumeration Date
2008-01-29
Last Update Date
2008-01-29
Business Address
-- MARY J. MASTNY PTA
6801 HIGH GROVE BLVD
BURR RIDGE, IL 60527-7585
Phone number: 630-734-4588
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Mailing Address
-- MARY J. MASTNY PTA
2624 CLARENCE AVE
BERWYN, IL 60402-2776
Phone number: 708-795-5770
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