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1578910436
JOANNA ICKIS
MUNSTER, IN
NPI
1578910436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06005486A)
Enumeration Date
2016-05-20
Last Update Date
2022-08-25
Business Address
JOANNA ICKIS
10110 DON S POWERS DR STE 101B
MUNSTER, IN 46321-4070
Phone number: 219-961-9503
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Mailing Address
JOANNA ICKIS
900 RAND RD STE 300
DES PLAINES, IL 60016-2359
Phone number: 847-324-3976
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