Selena Waido
Selena Waido is a Physical Therapy Assistant in Mendota, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
1401 E 12th StMendota, IL 61342-9216
Phone: (815) 539-1409
Fax: (815) 539-1652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 160.008276 (IL) |
|---|
Record details
| NPI number | 1275277642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 22, 2022 |
| Last updated in NPPES | April 22, 2022 |
| Certification date | April 22, 2022 |
| Mailing address | 1401 E 12th St, Mendota, IL 61342-9216 |