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1538327002
JOANN MARIE MATTALIANO
EVERGREEN PARK, IL
NPI
1538327002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160001349)
Enumeration Date
2008-05-30
Last Update Date
2008-05-30
Business Address
Ms. JOANN MARIE MATTALIANO PTA
9629 S MILLARD AVE
EVERGREEN PARK, IL 60805-2910
Phone number: 708-426-5645
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Mailing Address
Ms. JOANN MARIE MATTALIANO PTA
9629 S MILLARD AVE
EVERGREEN PARK, IL 60805-2910
Phone number: 708-426-5645
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