Individual
MARY AVELINE THERESE ALMEDILLA-GERONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3420 CRAIN HWY UNIT 3410, BOWIE, MD 20716-1302
(240) 206-7941
(240) 240-6866
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032619
NY LICENSE NUMBER
NY
01
—
40QA01526000
NJ LICENSE NUMBER
NJ
Enumeration date
02/10/2014
Last updated
08/28/2024
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