| Doctor Name: | DANA WALEROW |
| NPI Number: | 1255752499 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 070.020151 |
| Business Practice Address: | 141 N Schuyler Ave Kankakee, IL - 609013828 |
| Business Phone Number: | 8156142100 |
| Business Fax Number: | 8156142101 |
| Mailing Address: | 12128 E Gregg Blvd, MOMENCE |
| State: | IL |
| Postal Code: | 609543422 |
| Phone Number: | 8153519117 |
| Fax Number: | 8156142101 |
| NPI Enumeration Date: | 12/13/2013 |
| NPI Last Update Date: | 12/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070.020151 |
| 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 |