May Rose Delluza Marquez, PT

Individual provider Active NPI Physical Therapist · Hamilton, IL

NPI 1508095985 · NPPES record last updated Jul 7, 2009

Key facts

NPI
1508095985
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070.017144 (IL)
Practice address
1599 Keokuk St
Hamilton, IL 62341-1137
Phone
(217) 847-3931
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
070.017144ILMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.017144 IL Yes

Addresses

Primary practice location

1599 Keokuk St
Hamilton, IL 62341-1137

Mailing address

1920 Old Springville Rd Ste 104
Birmingham, AL 35215-5860
Phone (205) 520-9600

Other providers in Hamilton, IL

All providers in Hamilton, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.