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Mida Bautista-Dittmar, PT
NPI 1982714010 · on the registry since 2006
Practice
- Address
- 1627 4th St
Peru, IL 61354 - Phone
- (815) 223-4479
- Fax
- (815) 223-4489
- Organisation at this address
- City Center Rehabilitation West - Inc.
City Center Physical Therapy - Peru, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-01-14
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