Organization Name: | DENA DENNY PHYSICAL THERAPY |
NPI Number: | 1407104680 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENA DENNY (PHYSICAL THERAPIST) |
Mailing Address: | 5057 Shoreline Rd Lake Barrington |
State: | IL US |
Postal Code: | 600101700 |
Phone Number: | 8155292093 |
Fax Number: | 8476200755 |
NPI Enumeration Date: | 08/21/2012 |
NPI Last Update Date: | 08/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 070012760 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |