Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIDA N BAUTISTA-DITTMAR, PT
ActivePhysical Therapy Assistant · PERU, IL
Registration Details
- NPI Number
- 1982714010
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.66237965499 yrs)
- Last Updated
- Jan 14, 2009
- License
-
70007736 (IL)
Practice Information
- Address
-
1627 4TH STPERU, IL, 613543507Browse IL providers · Browse ZIP 61354
- Phone
- 8152234479
- Fax
- 8152234489
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PERU, IL
| Name | Credential | NPI |
|---|---|---|
| MS. SONDRA L BLOCKI | MSPT | 1811963713 |
| MR. TIMOTHY R SEMLOW | PT | 1457464562 |
| LUKE SMITH | PT | 1164572608 |
| MR. DELINARD SIBBALUCA | — | 1659499093 |
| TRICIA MARIE COOK | P.T. | 1447371398 |
| MR. DENNIS NINK | P.T. | 1528231933 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.