DAIANE TREVISAN LATOSINSKI

ROCKFORD, IL
NPI1831567049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070021362)
Enumeration Date2015-09-03
Last Update Date2015-09-23
Business Address
-- DAIANE TREVISAN LATOSINSKI PT
3616 N MAIN ST
ROCKFORD, IL 61103-2159
Phone number: 815-877-5932
Mailing Address
-- DAIANE TREVISAN LATOSINSKI PT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6200