Omega Amy T Kapuno, PT
Physical Therapist in Rantoul, IL. Individual provider (NPI-1).
NPI number1720105612
StatusActive
Last updated in NPPESSep 20, 2019
Details
- NPI
- 1720105612
- Entity type
- Individual (NPI-1)
- Name
- Ms. Omega Amy T Kapuno
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2007
- Last updated
- Sep 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070009185 | IL | Yes |
Practice location
1504 East GroveRantoul, IL 61866-2736
Phone 217-893-7720 · Fax 217-893-7803
Mailing address
611 W Park StUrbana, IL 61801-2500
Phone 217-326-2911 · Fax 217-344-8047
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