Individual
DR. JOHN PETER MACCANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5502 WASHINGTON AVE STE 500, MOUNT PLEASANT, WI 53406-4094
(262) 637-2470
(262) 637-2532
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11220-24
WI
Other
Enumeration date
06/09/2009
Last updated
08/20/2016
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