Doctor Name: | LESLIE KANAK |
NPI Number: | 1659699270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070016337 |
Business Practice Address: | 211 E Hanover St New Baden, IL - 622651811 |
Business Phone Number: | 6182349705 |
Business Fax Number: | 6182570665 |
Mailing Address: | 211 E Hanover St, NEW BADEN |
State: | IL |
Postal Code: | 622651811 |
Phone Number: | 6182349705 |
Fax Number: | 6182570665 |
NPI Enumeration Date: | 05/06/2010 |
NPI Last Update Date: | 05/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070016337 |
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 |