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Individual
JOHNNY PASSARELLI
Active
Individual
JOHNNY PASSARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT, CSCS, SCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-010887
IL
225100000X
Physical Therapist
6036024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40309400
—
WI
Enumeration date
07/03/2006
Last updated
03/17/2018
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