Doctor Name: | ZACHARY ERB |
NPI Number: | 1063642387 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070-017216 |
Business Practice Address: | 110 Mooney Dr Suite 5 Bourbonnais, IL - 609142171 |
Business Phone Number: | 8159337224 |
Business Fax Number: | 8159337225 |
Mailing Address: | 110 Mooney Dr, Suite 5 BOURBONNAIS |
State: | IL |
Postal Code: | 609142171 |
Phone Number: | 8159337224 |
Fax Number: | 8159337225 |
NPI Enumeration Date: | 07/21/2009 |
NPI Last Update Date: | 07/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-017216 |
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 |