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NPI Code Detail

MEDICARE: THOMASINA CANTY P.T.

MEDICARE:   THOMASINA  CANTY  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist070.015608IL

General Provider Information

NPI Number : 1336383777
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMASINA CANTY P.T.
Provider Business Mailing Address
First Line : 3500 S GILES AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60653-1106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3500 S GILES AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60653-1106
Country : US
Telephone Number : 312-326-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2009
Last Update Date : 04/29/2009

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Directions to “ THOMASINA CANTY P.T.” Practice Location

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