Emelyn B Agoncillo PT

NPI 1205142650 - Physical Therapist - 225100000X

NPI Details
NPI 1205142650
Gender Female
Enumeration Date 08/24/2010
Last Updated 08/24/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2615 HARRISON ST
BELLWOOD IL, 60104-2450, US
Phone (708) 493-0399
Fax (708) 493-9683
Business Location
2615 HARRISON ST
BELLWOOD IL, 60104-2450, US
Phone (708) 493-0399
Fax (708) 493-9683
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070-008627
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According to our database, Emelyn B Agoncillo PT NPI is 1205142650, taxonomy code is 225100000X and license number is 070-008627, license state is located at Illinois. Emelyn B Agoncillo PT physically located at 2615 Harrison St, Bellwood IL, 60104-2450. NPI Number Emelyn B Agoncillo PT has the Individual type.

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1205142650 NPI number is provided on an as is basis without warranty of any kind. 1205142650 is maintained by the National Plan & Provider Enumeration System. The contents of Emelyn B Agoncillo PT are for informational purposes only.