| Doctor Name: | BRETT WAPOTISH |
| NPI Number: | 1619123262 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 070-016612 |
| Business Practice Address: | 280 N Randall Rd Lake In The Hills, IL - 601565903 |
| Business Phone Number: | 8478548219 |
| Business Fax Number: | 8478548278 |
| Mailing Address: | 8937 Grand Ave, RIVER GROVE |
| State: | IL |
| Postal Code: | 601713603 |
| Phone Number: | 7084531354 |
| Fax Number: | 7084532679 |
| NPI Enumeration Date: | 08/14/2008 |
| NPI Last Update Date: | 07/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070-016612 |
| 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 |