Doctor Name: | GLADYS R REBOLLOS |
NPI Number: | 1033427513 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T., C.L.T. |
License Number: | 070015464 |
Business Practice Address: | 3703 W Lake Ave Ste 200 Glenview, IL - 600261266 |
Business Phone Number: | 8479981188 |
Business Fax Number: | |
Mailing Address: | 1239 Leon Way Apt 2, BOURBONNAIS |
State: | IL |
Postal Code: | 609144775 |
Phone Number: | 8152956836 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2010 |
NPI Last Update Date: | 09/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070015464 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |