Individual provider · Type 1 NPI
Paul Alvin Clavecilla
Geriatric Physical Therapist · Crown Point, IN
Practice location
1099 South Main St., Apt. 314
Crown Point, IN 46307
Mailing address
1099 S Main St, Apt. 314
Crown Point, IN 46307-4851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 070020612 (IL) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
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About NPI 1710433008
Paul Alvin Clavecilla's National Provider Identifier is 1710433008, issued on Aug 28, 2016. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Crown Point, IN. The record was last updated on Aug 28, 2016.