NPI 1649046673

Ciara Dominique McNutt, PTA

Practitioner Physical Therapy Assistant Olympia Fields, IL

Practice location

Address: 20201 Crawford Ave, Olympia Fields, IL 60461-1010
Phone: (708) 852-2540

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160009891 (IL)

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Registry record

NPI: 1649046673
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2023
Record last updated: 30 Nov 2023

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.