MRS. Lanie R Moreno, PT, DPT

NPI #1205110186 in Shorewood, Illinois

Provider Information

NPI Number: 1205110186
Entity Type: Individual
Name: MRS. Lanie R Moreno, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Oct 10, 2011
Last Updated: Oct 16, 2018

Practice Location

Address: 850 BROOKFOREST AVE UNIT L
City: Shorewood
State: Illinois
ZIP Code: 60404
Phone: (815) 773-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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