Provider Demographics
NPI:1962680884
Name:NO PLACE LIKE HOME PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:NO PLACE LIKE HOME PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WEISE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:815-356-5176
Mailing Address - Street 1:4220 WEATHERSTONE RD
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-4521
Mailing Address - Country:US
Mailing Address - Phone:815-356-5176
Mailing Address - Fax:815-356-5190
Practice Address - Street 1:4220 WEATHERSTONE RD
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-4521
Practice Address - Country:US
Practice Address - Phone:815-356-5176
Practice Address - Fax:815-356-5190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health