| Doctor Name: | MS. MIRIAM BOELEN |
| NPI Number: | 1023331790 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 2100 Pfingsten Rd Physical Therapy Glenview, IL - 600261301 |
| Business Phone Number: | 8476575678 |
| Business Fax Number: | 8476575742 |
| Mailing Address: | 2100 Pfingsten Rd, Physical Therapy GLENVIEW |
| State: | IL |
| Postal Code: | 600261301 |
| Phone Number: | 8476575678 |
| Fax Number: | 8476575742 |
| NPI Enumeration Date: | 03/09/2010 |
| NPI Last Update Date: | 03/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251N0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Neurology |
| Taxonomy Definition: | |