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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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