Doctor Name: | MRS. LANIE R MORENO |
NPI Number: | 1205110186 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 37562 |
Business Practice Address: | 1419 Essington Rd Joliet, IL - 604352873 |
Business Phone Number: | 8157292958 |
Business Fax Number: | |
Mailing Address: | 10257 W Lincoln Hwy, Frankfort FRANKFORT |
State: | IL |
Postal Code: | 604231279 |
Phone Number: | 8154691500 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2011 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 37562 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |