Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 070004116 | IL |
N | 2251N0400X | Physical Therapist - Neurology | 269624 | WI |
NPI | 1649672999 |
---|---|
Provider Name | Janet Odry Helminski |
First Address | Downers Grove, IL 60515-1235 |
Second Address | Downers Grove, IL 60515-5430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2014 |
Last Update Date | 18/09/2014 |