Overstreet, Renita
Overstreet, Renita is an individual health care provider with primary practice located at 525 Tyler Rd Ste Q1 , St Charles IL 60174-3360. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Overstreet, Renita can be contacted via phone (630) 444-0077.Contact Information
Primary practice address
525 Tyler Rd Ste Q1
St Charles IL 60174-3360
Phone: (630) 444-0077
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070.006718 | Illinois |
Profile Details
NPI number | 1225162092 |
---|---|
LBN Legal business name | Overstreet, Renita |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2007 |
Last updated | Jan 7th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225162092 | NPPES |
Illinois | Other | 225100000X | PHYSICAL THERAPIST |
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