MIDA N BAUTISTA-DITTMAR

PERU, IL
NPI1982714010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  70007736)
Enumeration Date2006-08-30
Last Update Date2009-01-14
Business Address
-- MIDA N BAUTISTA-DITTMAR PT
1627 4TH ST
PERU, IL 61354-3507
Phone number: 815-223-4479
Mailing Address
-- MIDA N BAUTISTA-DITTMAR PT
PO BOX 764
CHANNAHON, IL 60410-0764
Phone number: 815-223-4479
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