Doctor Name: | MRS. BETHANY RABANUS |
NPI Number: | 1013214741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070011683 |
Business Practice Address: | 780 Fox Run Dr Geneva, IL - 601342866 |
Business Phone Number: | 6305366376 |
Business Fax Number: | 8133428683 |
Mailing Address: | 780 Fox Run Dr, GENEVA |
State: | IL |
Postal Code: | 601342866 |
Phone Number: | 6305366376 |
Fax Number: | 8133428683 |
NPI Enumeration Date: | 02/15/2011 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 070011683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |