Provider Demographics
NPI:1912049289
Name:ROUNDS, HELENA (PTA)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:ROUNDS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15400 E 127TH ST
Mailing Address - Street 2:STE C
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-8408
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15400 127TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-8408
Practice Address - Country:US
Practice Address - Phone:630-257-9787
Practice Address - Fax:630-257-9947
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant