BRENDA JOY LARSON PITTACORA

CHICAGO, IL
NPI1760701791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  160001451)
Enumeration Date2010-06-01
Last Update Date2010-06-01
Business Address
Mrs. BRENDA JOY LARSON PITTACORA PTA
412 W 31ST ST
CHICAGO, IL 60616-3116
Phone number: 312-225-3119
Mailing Address
Mrs. BRENDA JOY LARSON PITTACORA PTA
412 W 31ST ST
CHICAGO, IL 60616-3116
Phone number: 312-225-3119