Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | 10669 | OH |
N | 2251G0304X | Physical Therapist - Geriatrics | 18540 | PA |
Y | 2251G0304X | Physical Therapist - Geriatrics | 34859 | CA |
NPI | 1184744153 |
---|---|
Provider Name | Dr. John Casil II |
First Address | Canton, OH 44709-2960 |
Second Address | Canton, OH 44709-2960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2007 |
Last Update Date | 15/12/2008 |