Provider Demographics
NPI:1497484828
Name:GEISER, MONICA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:GEISER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 ROCKLAND RD STE 500
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-4137
Mailing Address - Country:US
Mailing Address - Phone:815-893-8480
Mailing Address - Fax:815-893-8481
Practice Address - Street 1:530 ROCKLAND RD STE 500
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-4137
Practice Address - Country:US
Practice Address - Phone:815-893-8480
Practice Address - Fax:815-893-8481
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist