Alex Marchillo

NPI #1174988349 in Clinton, Wisconsin

Provider Information

NPI Number: 1174988349
Entity Type: Individual
Name: Alex Marchillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 15, 2015
Last Updated: Dec 15, 2015

Practice Location

Address: 419 HIGHLAND PARK AVE
City: Clinton
State: Wisconsin
ZIP Code: 53525-9795
Phone: (800) 330-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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