Emelyn B Agoncillo, PT

NPI #1205142650 in Bellwood, Illinois

Provider Information

NPI Number: 1205142650
Entity Type: Individual
Name: Emelyn B Agoncillo, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 24, 2010
Last Updated: Oct 1, 2019

Practice Location

Address: 2615 HARRISON ST
City: Bellwood
State: Illinois
ZIP Code: 60104-2450
Phone: (708) 493-0399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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