| Doctor Name: | MRS. MAUREEN THERESE GARVAGLIA |
| NPI Number: | 1548530033 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PTA |
| License Number: | 1098-19 |
| Business Practice Address: | N22186 Hwy 141 Niagara, WI - 541519776 |
| Business Phone Number: | 7152511897 |
| Business Fax Number: | |
| Mailing Address: | N22186 Hwy 141, NIAGARA |
| State: | WI |
| Postal Code: | 541519776 |
| Phone Number: | 7152511897 |
| Fax Number: | |
| NPI Enumeration Date: | 12/30/2011 |
| NPI Last Update Date: | 12/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 1098-19 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |