Doctor Name: | ANN DONISCH |
NPI Number: | 1194033480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 070018064 |
Business Practice Address: | 11531 Swinford Ln Mokena, IL - 604489274 |
Business Phone Number: | 2192290322 |
Business Fax Number: | |
Mailing Address: | 11531 Swinford Ln, MOKENA |
State: | IL |
Postal Code: | 604489274 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/20/2010 |
NPI Last Update Date: | 09/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 070018064 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |