| Doctor Name: | MR. THOMAS B RAVETTO |
| NPI Number: | 1144428095 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 19525 Forestdale Ct Mokena, IL - 604488261 |
| Business Phone Number: | 7084785400 |
| Business Fax Number: | |
| Mailing Address: | 19930 S Jessica Ln, FRANKFORT |
| State: | IL |
| Postal Code: | 604239270 |
| Phone Number: | 8154649308 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |