Travis J Spagnola

NPI 1992978175 - Physical Therapist - 225100000X

NPI Details
NPI 1992978175
Gender Male
Enumeration Date 04/08/2008
Last Updated 05/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
17236 HARLEM AVE
TINLEY PARK IL, 60477-6619, US
Phone (708) 633-8379
Fax (708) 633-8614
Business Location
1816 170TH ST
HAZEL CREST IL, 60429-1451, US
Phone (708) 335-1415
Fax (708) 335-0115
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070016338
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According to our database, Travis J Spagnola NPI is 1992978175, taxonomy code is 225100000X and license number is 070016338, license state is located at Illinois. Travis J Spagnola physically located at 17236 Harlem Ave, Tinley Park IL, 60477-6619. NPI Number Travis J Spagnola has the Individual type.

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1992978175 NPI number is provided on an as is basis without warranty of any kind. 1992978175 is maintained by the National Plan & Provider Enumeration System. The contents of Travis J Spagnola are for informational purposes only.