Individual provider · Type 1 NPI
Mishelle A. Mazzone, P.T.
Specialist · Chicago Ridge, IL
NPI number
1902044209
Active
Practice location
10308 Lyman Ave, 3N
Chicago Ridge, IL 60415-1687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 070005096 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Chicago Ridge
About NPI 1902044209
Mishelle A. Mazzone, P.T.'s National Provider Identifier is 1902044209, issued on Jan 26, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago Ridge, IL. The record was last updated on Jan 26, 2009.