Doctor Name: | CAREY DAHLQUIST |
NPI Number: | 1215308192 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 070021581 |
Business Practice Address: | 2338 W Van Winkle Way Suite 3100 Peoria, IL - 616157483 |
Business Phone Number: | 3096939189 |
Business Fax Number: | |
Mailing Address: | 2810 Frank Scott Pkwy W, Suite 824 BELLEVILLE |
State: | IL |
Postal Code: | 622235007 |
Phone Number: | 6182349705 |
Fax Number: | 6182570665 |
NPI Enumeration Date: | 10/16/2015 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070021581 |
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 |