MIRA JOVIC
Physical Therapy Assistant
Active
Individual
NPI: 1093171415
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 160005378 (IL) |
Frequently Asked Questions
NPI 1093171415 is the National Provider Identifier for MIRA JOVIC, a Physical Therapy Assistant provider located in Berwyn, IL. This NPI was enumerated on January 14, 2016.
MIRA JOVIC practices at 6801 13TH ST, Berwyn, IL 60402.
Quick Facts
- NPI
- 1093171415
- Type
- Individual
- Enumerated
- Jan 14, 2016
- Last Updated
- Jan 14, 2016
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