Most Relevant Information
Provider Data
NPI Number: | 1003020777 |
Provider Name: | PAULINE SAMONTE RPT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: |
Most Important Dates
Enumeration Date: | 05/10/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
7310 39TH ST
SUITE 100
LYONS
IL
605341247
Practice Location Phone/Fax
Phone: | 7084479616 |
Fax: | 7084479626 |
Provider Mailing Location
7310 39TH ST
SUITE 100
LYONS
IL
605341247
Provider Mailing Phone/Fax
Phone: | 7084479616 |
Fax: | 7084479626 |