Doctor Name: | MR. PETER ANDRE BUCASAS |
NPI Number: | 1477930154 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070017306 |
Business Practice Address: | 176 Thomas Ct Wauconda, IL - 600842451 |
Business Phone Number: | 8475265551 |
Business Fax Number: | |
Mailing Address: | 16170 Kingsport Rd, ORLAND PARK |
State: | IL |
Postal Code: | 604675602 |
Phone Number: | 7083261550 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2015 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070017306 |
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 |