SearchIndiana2251G0304X

Paul Alvin Clavecilla

NPI 1710433008 · on the registry since 2016

Practice

Address
1099 South Main St.
Apt. 314
Crown Point, IN 46307
Phone
(847) 942-9143
Organisation at this address
Ultimate Rehab Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
2251G0304X
2251G0304X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana