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NPI Code Detail

MEDICARE: JEANETTE GALVAN PTA

MEDICARE: JEANETTE GALVAN PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant160.010438IL

General Provider Information

NPI Number : 1619814712
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANETTE GALVAN PTA
Provider Business Mailing Address
First Line : 300 W BUTTERFIELD RD
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5017
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 W BUTTERFIELD RD
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5017
Country : US
Telephone Number : 630-984-9880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2026
Last Update Date : 04/29/2026

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Directions to “ JEANETTE GALVAN PTA” Practice Location

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