Most Relevant Information
Provider Data
NPI Number: | 1003017948 |
Provider Name: | MARIE ANN DICOSOLA D.P.T. |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: |
Most Important Dates
Enumeration Date: | 05/29/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
105 E MAPLE ST
HINSDALE
IL
605213730
Practice Location Phone/Fax
Phone: | 6303335817 |
Fax: |
Provider Mailing Location
105 E MAPLE ST
HINSDALE
IL
605213730
Provider Mailing Phone/Fax
Phone: | 6303335817 |
Fax: |