Provider Demographics
NPI:1639355993
Name:SORIANO, HERMINIA N (PT)
Entity Type:Individual
Prefix:MISS
First Name:HERMINIA
Middle Name:N
Last Name:SORIANO
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 1:13246 S ROUTE 59
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-9800
Mailing Address - Country:US
Mailing Address - Phone:815-230-3910
Mailing Address - Fax:815-239-3930
Practice Address - Street 1:13246 S ROUTE 59
Practice Address - Street 2:SUITE 102
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-9800
Practice Address - Country:US
Practice Address - Phone:815-230-3910
Practice Address - Fax:815-239-3930
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.008654225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist