Nathaniel Cercavschi, PT, DPT, ATC

NPI #1215337753 in Oak Park, Illinois

Provider Information

NPI Number: 1215337753
Entity Type: Individual
Name: Nathaniel Cercavschi, PT, DPT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, ATC
Enumeration Date: Sep 3, 2014
Last Updated: Sep 3, 2014

Practice Location

Address: 610 S MAPLE AVE
City: Oak Park
State: Illinois
ZIP Code: 60304-1091
Phone: (708) 934-7062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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