Doctor Name: | ANGELA M MEANEY |
NPI Number: | 1811096316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | |
Business Practice Address: | 1275 N Convent St Suite 3 Bourbonnais, IL - 609148210 |
Business Phone Number: | 8159361855 |
Business Fax Number: | 8159366097 |
Mailing Address: | 410 W Cook St, MANTENO |
State: | IL |
Postal Code: | 609501671 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 10/19/2007 |
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 |