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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STANISLAV C MARAVILLA, MPT

Active

STANISLAV C MARAVILLA, MPT is a Physical Therapy Assistant healthcare provider located in ZION, Illinois. NPI 1740717479 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ZION, IL

Registration Details

NPI Number
1740717479
Provider Type
Individual
Gender
Male
NPI Issued
May 12, 2017 (9.2236208384868 yrs)
Last Updated
May 12, 2017
License
070007566 (IL)

Practice Information

Address
2723 SHERIDAN RD
SUITE D
ZION, IL, 600992616
Browse IL providers · Browse ZIP 60099
Phone
8477944532
Fax
8477944533
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ZION, IL

Name Credential NPI
REBECCA S MATTESON LPT 1457437170
MR. JEFFREY S LUBAN DPT 1134256068
MRS. TARA THANANETAPON ALAICHAMY D.P.T. 1699063222
MARIEL DE VERA VISCONDE RPT 1629323696
SHANA MARIE PAGTALUNAN RAMIREZ PT 1194070540
ANDREW SIBENALLER DPT 1194176321
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.