Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 070011481 | IL |
NPI | 1285962043 |
---|---|
Provider Name | Sakina Valika |
First Address | Downers Grove, IL 60515-1376 |
Second Address | Downers Grove, IL 60515-1376 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2009 |
Last Update Date | 24/06/2019 |