MS. Mae O Pedroso Provo
MS. Mae O Pedroso Provo is a Physical Therapist in Tinley Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
6711 Pine Lake DrTinley Park, IL 60477-4935
Phone: (630) 272-1788
Fax: (630) 679-0038
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X (IL) |
|---|
Record details
| NPI number | 1225210073 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2007 |
| Last updated in NPPES | December 4, 2007 |
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