Provider Demographics
NPI:1346795770
Name:HURLEY, ANN (PT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:HURLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S BRIGGS ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60433-9591
Mailing Address - Country:US
Mailing Address - Phone:815-722-1757
Mailing Address - Fax:815-722-1767
Practice Address - Street 1:801 S BRIGGS ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60433-9591
Practice Address - Country:US
Practice Address - Phone:815-722-1757
Practice Address - Fax:815-722-1767
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist