Mary Joy Maravilla
Physical Therapist - Geriatrics
1035 Madison St
Oak Park
, Illinois 60302-4449
Mary Joy Maravilla
Physical Therapist - Geriatrics
1035 Madison St
Oak Park
, Illinois 60302-4449
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mary Joy Maravilla
- 1035 Madison St
- Oak Park, IL
- Zip : 60302-4449
- Phone :
Second Address
- Mary Joy Maravilla
- 1035 Madison St
- Oak Park, IL
- Zip : 60302-4449
- Phone : (708) 848-7200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 070017719 | IL |
National Provider Identifier
| NPI | 1407401292 |
|---|---|
| Provider Name | Mary Joy Maravilla |
| First Address | Oak Park, IL 60302-4449 |
| Second Address | Oak Park, IL 60302-4449 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2019 |
| Last Update Date | 07/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.