Provider Demographics
NPI:1669653598
Name:ROWLEY, RENEE G (PT, PCS)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:G
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:PT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 LONGMEADOW LN
Mailing Address - Street 2:
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-2109
Mailing Address - Country:US
Mailing Address - Phone:708-246-9383
Mailing Address - Fax:708-371-7748
Practice Address - Street 1:1019 LONGMEADOW LN
Practice Address - Street 2:
Practice Address - City:WESTERN SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60558-2109
Practice Address - Country:US
Practice Address - Phone:708-246-9383
Practice Address - Fax:708-371-7748
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics