Mr. Marciano Funtila Mondala
Mr. Marciano Funtila Mondala is a Physical Therapist in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
3207 Edward Hoffman DrChampaign, IL 61822-8018
Phone: (217) 356-8623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070013083 (IL) |
|---|
Record details
| NPI number | 1144496928 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 1, 2008 |
| Last updated in NPPES | May 1, 2008 |
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