Marinel Maravilla, PT

NPI #1366961963 in Antioch, Illinois

Provider Information

NPI Number: 1366961963
Entity Type: Individual
Name: Marinel Maravilla, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 14, 2017
Last Updated: Sep 14, 2017

Practice Location

Address: 1122 MAIN ST
City: Antioch
State: Illinois
ZIP Code: 60002-1808
Phone: (847) 395-0321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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