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OMAR FONSECA

Physical Therapy Assistant

NPI: 1366101420Individual

Specialties, Licenses & Credentials

Physical Therapy Assistant

Code: 225200000X

160.009394(IL)
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Contact & Hours

Address
2000 LAKE AVE
WOODSTOCK, IL 60098

Quick Facts

NPI
1366101420
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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