VICKI MARIA TYSSELING MATTIACE

CHICAGO, IL
NPI1578734711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070011158)
Enumeration Date2008-03-16
Last Update Date2008-03-16
Business Address
-- VICKI MARIA TYSSELING MATTIACE P.T.
124 W POLK ST APT 807
CHICAGO, IL 60605-1767
Phone number: 312-583-9077
Mailing Address
-- VICKI MARIA TYSSELING MATTIACE P.T.
124 W POLK ST APT 807
CHICAGO, IL 60605-1767
Phone number: