Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARCIANO FUNTILA MONDALA
Active Sole ProprietorMR. MARCIANO FUNTILA MONDALA is a Physical Therapy Assistant healthcare provider located in CHAMPAIGN, Illinois. NPI 1144496928 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1144496928
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2008 (18.288626812089 yrs)
- Last Updated
- May 1, 2008
- License
-
070013083 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3207 EDWARD HOFFMAN DRCHAMPAIGN, IL, 618228018Browse IL providers · Browse ZIP 61822
- Phone
- 2173568623
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. ANGELA J CUSICK | P.T. | 1003889239 |
| MR. ERIC P WOODARD | DPT | 1285671917 |
| MR. JERRY L. HESELTON | P.T. | 1356357800 |
| MS. KRISTI L. GRESCH | P.T. | 1144236720 |
| MR. JOHN T. COTTINGHAM | P.T. | 1235146564 |
| MR. KENT A. RICHMOND | P.T. | 1962410282 |
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.