Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Daniel Prudencio

Individual provider Physical Therapy Assistant · NPI 1528363892

Mr. Daniel Prudencio is a Physical Therapy Assistant in Marion, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011

Practice location Address checks out

2907 Williamson County Pkwy
Marion, IL 62959-5256
Phone: (618) 998-9993
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160004507 (IL)

Record details

NPI number1528363892
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2011
Last updated in NPPESJanuary 18, 2011
Mailing address2907 Williamson County Pkwy, Marion, IL 62959-5256

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