Doctor Name: | MARZENA D KANIUK |
NPI Number: | 1174551162 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070-011042 |
Business Practice Address: | 1415 W Lake St Addison, IL - 60101 |
Business Phone Number: | 8666448040 |
Business Fax Number: | 6307051980 |
Mailing Address: | 3915 30th Avenue, KENOSHA |
State: | WI |
Postal Code: | 53144 |
Phone Number: | 8775522996 |
Fax Number: | 2626577190 |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-011042 |
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 |