Doctor Name: | BRANDI DAWN KIRK |
NPI Number: | 1851334288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070-009741 |
Business Practice Address: | 14815 Founders Xing Homer Glen, IL - 604916705 |
Business Phone Number: | 7083013102 |
Business Fax Number: | 7083014450 |
Mailing Address: | 17w735 Kirkland Ln, VILLA PARK |
State: | IL |
Postal Code: | 601813751 |
Phone Number: | 6308816332 |
Fax Number: | 7083014450 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 12/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-009741 |
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 |