Shannon Patricia Gengenbacher
Physical Therapist
14731 S Van Dyke Rd
Plainfield
, Illinois 60544-3185
Shannon Patricia Gengenbacher
Physical Therapist
14731 S Van Dyke Rd
Plainfield
, Illinois 60544-3185
(610) 457-0052
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Shannon Patricia Gengenbacher
- 3614 Landings Rd
- Joliet, IL
- Zip : 60431-1597
- Phone : (610) 457-0052
Second Address
- Shannon Patricia Gengenbacher
- 14731 S Van Dyke Rd
- Plainfield, IL
- Zip : 60544-3185
- Phone : (815) 267-3196
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070019069 | IL |
National Provider Identifier
| NPI | 1003228263 |
|---|---|
| Provider Name | Shannon Patricia Gengenbacher |
| First Address | Joliet, IL 60431-1597 |
| Second Address | Plainfield, IL 60544-3185 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2014 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.