Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSEPH DONAYRE FADULLON, PHYSICAL THERAPIST
Active Sole ProprietorPhysical Therapy Assistant · BOLINGBROOK, IL
Registration Details
- NPI Number
- 1386786432
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2007 (19.187351536132 yrs)
- Last Updated
- Aug 20, 2007
- Licenses
-
5501007885 (MI)5501007885 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
386 CLUBHOUSE STBOLINGBROOK, IL, 604902119Browse IL providers · Browse ZIP 60490
- Phone
- 9067480183
- Fax
- 6307596873
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Hand Therapy
Other Physical Therapy Assistant Providers in BOLINGBROOK, IL
| Name | Credential | NPI |
|---|---|---|
| MR. FERDINAND USON | P.T | 1912974239 |
| TIMOTHY WAYNE TUCKER | MPT | 1912969973 |
| JANEMARIE K PARKER | PT | 1417901307 |
| MR. IBRAHIM O AROWOLO | — | 1497702732 |
| JAMES DONAHUE | DPT | 1649288267 |
| DR. TRICIA L MITCHELL | DPT, MPT | 1144339359 |
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.