IndividualActive
Paul Alvin Clavecilla
NPI 1710433008 · Geriatric Physical Therapist · Crown Point, IN
Provider details
- NPI number
- 1710433008
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 070020612 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1099 South Main St.
Apt. 314
Crown Point, IN 46307
Phone: (847) 942-9143
Approximate (ZIP-level) locationGet directions
Mailing address
1099 S Main St
Crown Point, IN 46307-4851
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 2016-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.