| Doctor Name: | MR. MARC ANTHONY VASIL |
| NPI Number: | 1215023072 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT09270 |
| Business Practice Address: | 5813 Mayfield Rd Suite 202 Mayfield Heights, OH - 441242932 |
| Business Phone Number: | 4402295822 |
| Business Fax Number: | 4404484902 |
| Mailing Address: | Po Box 241517, CLEVELAND |
| State: | OH |
| Postal Code: | 441248517 |
| Phone Number: | 4402295822 |
| Fax Number: | 4404484902 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 01/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | PT09270 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |