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1689450017
GABRIELLA MARIE DANTA
OAK LAWN, IL
NPI
1689450017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.009948)
Enumeration Date
2023-09-01
Last Update Date
2023-09-01
Business Address
GABRIELLA MARIE DANTA PTA
4061 W 95TH ST
OAK LAWN, IL 60453-2611
Phone number: 708-690-6639
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Mailing Address
GABRIELLA MARIE DANTA PTA
540 W FAY AVE
ELMHURST, IL 60126-2149
Phone number:
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