NPI:
1982781316
Provider Name:
WAUCONDA PHYSICAL THERAPY, INC.
Former Legal Business Name: WAUCONDA WELLNESS CLINIC, INC.
Classification:
Physical Therapist - 2251X0800X
Entity Type:
Organization
Specialization: Orthopedic
Address:
363 N MAIN ST
SUITE A
WAUCONDA, IL
ZIP 60084
Phone:
(847) 487-0290
Get Directions
WAUCONDA PHYSICAL THERAPY, INC. is an orthopedic physical therapist in Wauconda, IL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. WAUCONDA PHYSICAL THERAPY, INC. NPI is 1982781316. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Wauconda Wellness Clinic, Inc..
The provider's business location address is:
363 N MAIN ST
SUITE A
WAUCONDA, IL
ZIP 60084-036
Phone: (847) 487-0290
Fax: (847) 487-0492
The provider's authorized official is Sharlene D Mecchi .
The authorized official title is Practice Manager and has the following contact phone number (847) 487-0290.
The enumeration date for this NPI number is 11/1/2006 and was last updated on 9/17/2014.