Joseph Donayre Fadullon, PHYSICAL THERAPIST
NPI #1386786432 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1386786432
- Entity Type
- Individual
- Name
- Joseph Donayre Fadullon, PHYSICAL THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PHYSICAL THERAPIST
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Aug 20, 2007
Practice Location
- Address
- 386 CLUBHOUSE ST
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60490-2119
- Phone
- (906) 748-0183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Physical Therapist - Geriatrics — Geriatrics |
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