Individual
LUKE F TACCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1601 E TERRA LN, O FALLON, MO 63366-4414
(636) 978-6634
(636) 978-6643
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MO
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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