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NPI Code Detail

MEDICARE: SARAH MAE CIRUNAY DAYTA-MARSELL PT

MEDICARE:   SARAH MAE CIRUNAY DAYTA-MARSELL  PT
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
1171W00000XContractor029247NY
2225100000XPhysical Therapist070-020700IL

General Provider Information

NPI Number : 1770728800
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MAE CIRUNAY DAYTA-MARSELL PT
Provider Business Mailing Address
First Line : 2122 YORK RD
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1930
Country : US
Telephone Number : 630-575-6250
Fax Number :
Provider Business Practice Location Address
First Line : 1733 N RICHMOND RD
Second Line :
City : MCHENRY
State : IL
Zip : 60051-5413
Country : US
Telephone Number : 815-385-0730
Fax Number : 815-385-0572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2008
Last Update Date : 12/20/2024

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Directions to “ SARAH MAE CIRUNAY DAYTA-MARSELL PT” Practice Location

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