Doctor Name: | DIANA MACASAET |
NPI Number: | 1083025506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 070.020393 |
Business Practice Address: | 1811 Hanover Ln Flossmoor, IL - 604221923 |
Business Phone Number: | 7086299724 |
Business Fax Number: | |
Mailing Address: | 1811 Hanover Ln, FLOSSMOOR |
State: | IL |
Postal Code: | 604221923 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/19/2014 |
NPI Last Update Date: | 05/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.020393 |
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 |