SearchIllinoisPhysical Therapy Assistant

Diane Fornek, PTA

NPI 1902992407 · on the registry since 2006

Practice

Address
2156 Deep Water Lane
Naperville, IL 60564
Phone
(630) 904-5641
Fax
(630) 904-5661

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois