Nathaniel Bascar Vizcayno, PT
Physical Therapist in McHenry, IL. Individual provider (NPI-1).
NPI number1619086394
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619086394
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nathaniel Bascar Vizcayno
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070011571 | IL | Yes |
Practice location
4723 W Elm StreetMcHenry, IL 60050
Phone 815-344-1192 · Fax 815-344-8070
Mailing address
4723 W Elm StreetMcHenry, IL 60050
Phone 815-344-1192 · Fax 815-344-8070
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All 52 Physical Therapist providers in McHenry · All 2,101 providers in McHenry
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