Organization Name: | WELLNESS SOLUTIONS PHYSICAL THERAPY PC |
NPI Number: | 1366886509 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINAMARIE J ASHBECK (OWNER) |
Mailing Address: | 775 N Bank Ln Suite 104 Lake Forest |
State: | IL US |
Postal Code: | 600451890 |
Phone Number: | 8472951241 |
Fax Number: | 8474810234 |
NPI Enumeration Date: | 04/18/2013 |
NPI Last Update Date: | 11/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070011039 |
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 |