Individual provider · Type 1 NPI
Jenifer Carlos De Lara, PT
Geriatric Physical Therapist · Evanston, IL
Practice location
1415 Sherman Ave, Apt. 605
Evanston, IL 60201-4453
Mailing address
1415 Sherman Avenue #605
Evanston, IL 60201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 070-009035 (IL) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
About NPI 1255654950
Jenifer Carlos De Lara, PT's National Provider Identifier is 1255654950, issued on Mar 9, 2010. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Evanston, IL. The record was last updated on Mar 9, 2010.