NPI 1326386806

Willie D Merrill

Practitioner Physical Therapy Assistant Lombard, IL

Practice location

Address: 1806 S Highland Ave, Lombard, IL 60148-4938
Phone: (312) 604-3704
Mailing address: 2412 S 23rd Ave, Broadview, IL 60155-3809

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160005917 (IL)

Other Physical Therapy Assistant providers in Illinois →

Registry record

NPI: 1326386806
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2013
Record last updated: 17 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.