Organization
JENNIFER K. BUCCELLI, MPT
Active
Organization
JENNIFER K. BUCCELLI, MPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KATHLEEN BUCCELLI (PHYSICAL THERAPIST)
(224) 628-4411
Entity
Organization
Contact information
Practice address
597 PLYMOUTH CT, GURNEE, IL 60031-3229
(224) 628-4411
Mailing address
597 PLYMOUTH CT, GURNEE, IL 60031-3229
(224) 628-4411
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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