NPI 1023015526

Patrice Lassa, PTA

Practitioner Physical Therapy Assistant Chicago, IL

Practice location

Address: 1634 W Ohio St # 2, Chicago, IL 60622-6036
Phone: (773) 450-8119
Fax: (800) 507-4195

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160-004014 (IL)

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Registry record

NPI: 1023015526
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2005
Record last updated: 12 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.