Most Relevant Information
Provider Data
| NPI Number: | 1003531187 |
| Provider Name: | THOMAS EDWARD LIGIBEL |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 160005085 |
Most Important Dates
| Enumeration Date: | 10/11/2022 |
| Last Updated: | 10/11/2022 |
Provider Practice Location
379 FOUNTAINS PKWY
FAIRVIEW HEIGHTS
IL
622082044
Practice Location Phone/Fax
| Phone: | 6186249940 |
| Fax: | 6186249945 |
Provider Mailing Location
6811 W MAIN ST
MARYVILLE
IL
620625765
Provider Mailing Phone/Fax
| Phone: | 6185583745 |
| Fax: |