Joseph Albert De Mesa Montemayor, PT Valid NPI

Individual provider · Geriatric Physical Therapist · Chicago, IL

NPI

1760879969

Type

Individual (Type 1)

Primary specialty

Geriatric Physical Therapist (Physical Therapist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2251G0304X

License number

070015664 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2015-04-25

Last updated

2015-04-25