MR. Nathaniel Bascar Vizcayno, PT

NPI #1619086394 in Mchenry, Illinois

Provider Information

NPI Number: 1619086394
Entity Type: Individual
Name: MR. Nathaniel Bascar Vizcayno, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4723 W ELM STREET
City: Mchenry
State: Illinois
ZIP Code: 60050
Phone: (815) 344-1192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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