Doctor Name: | DENNIS MISOLES |
NPI Number: | 1548474125 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 070014735 |
Business Practice Address: | 1625 Bethany Rd Sycamore, IL - 601783124 |
Business Phone Number: | 8158959898 |
Business Fax Number: | 8158953232 |
Mailing Address: | 26731 Lindengate Cir, PLAINFIELD |
State: | IL |
Postal Code: | 605855990 |
Phone Number: | 7083511194 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070014735 |
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 |