DANA RENEE ILLOS

WESTERVILLE, OH
NPI1568935146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MD  A4799)
Enumeration Date2019-01-07
Last Update Date2022-01-10
Business Address
DANA RENEE ILLOS PTA
1150 COLONY DR
WESTERVILLE, OH 43081-3624
Phone number: 614-891-5055
Mailing Address
DANA RENEE ILLOS PTA
3998 TRADE ROYAL XING
COLUMBUS, OH 43230-6464
Phone number: