Doctor Name: | MR. JONATHAN S LINK |
NPI Number: | 1912012808 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT OCS CSCS |
License Number: | 070011785 |
Business Practice Address: | 404 W Blackhawk Drive Suite 1ll Byron, IL - 61010 |
Business Phone Number: | 8152345561 |
Business Fax Number: | 8152345870 |
Mailing Address: | 6623 Lindbloom Ln, CHERRY VALLEY |
State: | IL |
Postal Code: | 610169137 |
Phone Number: | 8153324826 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 04/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070011785 |
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 |