LISA FABIAN

CHICAGO, IL
NPI1811246119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  16003265)
Enumeration Date2012-08-31
Last Update Date2012-08-31
Business Address
-- LISA FABIAN PTA
1401 S CALIFORNIA AVE
CHICAGO, IL 60608-1858
Phone number: 773-522-2010
Mailing Address
-- LISA FABIAN PTA
4019 S LAKE PARK AVE UNIT 1
CHICAGO, IL 60653-2524
Phone number:
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