Doctor Name: | MRS. SUSAN WAHL RAINE |
NPI Number: | 1619944535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | |
Business Practice Address: | 301 E Rand Rd Mt Prospect, IL - 600566089 |
Business Phone Number: | 8473981775 |
Business Fax Number: | |
Mailing Address: | 898 Warwick Ln, LAKE ZURICH |
State: | IL |
Postal Code: | 600472797 |
Phone Number: | 8477260439 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
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 |