NPI 1407296643

Christopher Noche de Leon, PTA

Practitioner Physical Therapy Assistant Gurnee, IL

Practice location

Address: 2074 Madison Ave, Gurnee, IL 60031-6301
Phone: (773) 982-1106
Mailing address: 16089 Poppyseed Cir Unit 2008, Delray Beach, FL 33484-6314

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160005954 (IL)

Other Physical Therapy Assistant providers in Illinois →

Registry record

NPI: 1407296643
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2013
Record last updated: 2 Jul 2013

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.