NATHANIEL BASCAR VIZCAYNO

MCHENRY, IL
NPI1619086394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070011571)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
Mr. NATHANIEL BASCAR VIZCAYNO PT
4723 W ELM STREET
MCHENRY, IL 60050
Phone number: 815-344-1192
Mailing Address
Mr. NATHANIEL BASCAR VIZCAYNO PT
4723 W ELM STREET
MCHENRY, IL 60050
Phone number: 815-344-1192
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