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1578799151
JOHN PETER MACCANELLI
MOUNT PLEASANT, WI
NPI
1578799151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 11220-24)
Enumeration Date
2009-06-09
Last Update Date
2016-08-20
Business Address
Dr. JOHN PETER MACCANELLI PT
5502 WASHINGTON AVE STE 500
MOUNT PLEASANT, WI 53406-4094
Phone number: 262-637-2470
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Mailing Address
Dr. JOHN PETER MACCANELLI PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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