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1992056097
LISA ELLEN CARDONA
BERWYN, IL
NPI
1992056097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.005077)
Enumeration Date
2012-09-28
Last Update Date
2012-09-28
Business Address
-- LISA ELLEN CARDONA PTA
1338 EUCLID AVE
BERWYN, IL 60402-1587
Phone number: 630-667-5656
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Mailing Address
-- LISA ELLEN CARDONA PTA
1338 EUCLID AVE
BERWYN, IL 60402-1587
Phone number: 630-667-5656
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