Doctor Name: | AMPARO VARELA KACIUS |
NPI Number: | 1790869220 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT PHYSICAL THERAPIS |
License Number: | 05004893A |
Business Practice Address: | 1717 Northfield Sq Apt A Northfield, IL - 600933338 |
Business Phone Number: | 8478262533 |
Business Fax Number: | 8474415261 |
Mailing Address: | 1717 Northfield Sq Apt A, NORTHFIELD |
State: | IL |
Postal Code: | 600933338 |
Phone Number: | 8478262533 |
Fax Number: | 8474415261 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 11/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05004893A |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |