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Edie Moncada, PTA
NPI 1578978334 · on the registry since 2014 · sole proprietor
Practice
- Address
- 901 S Austin Blvd
Chicago, IL 60644 - Phone
- (773) 287-9181
- Organisation at this address
- Austin Oasis, Llc
Adapt Of Illinois, Inc.
Generations At Columbus Park,IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois