Doctor Name: | PATRICE ANN RENINGER |
NPI Number: | 1063793073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070.007081 |
Business Practice Address: | 2000 W Lake St Hanover Park, IL - 601334302 |
Business Phone Number: | 6305562000 |
Business Fax Number: | |
Mailing Address: | 100 W Glendale Ter, ROSELLE |
State: | IL |
Postal Code: | 601723542 |
Phone Number: | 6305823374 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2011 |
NPI Last Update Date: | 09/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.007081 |
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 |