Individual provider · Type 1 NPI

Jacalyn Ann Derengowski, P.T.

Pediatric Physical Therapist · Park Ridge, IL

NPI number 1306974811 Active

Practice location

1675 Dempster St Fl 3
Park Ridge, IL 60068-1110

Mailing address

29373 Network Pl
Chicago, IL 60673-6714

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X070-010332 (IL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1306974811

Jacalyn Ann Derengowski, P.T.'s National Provider Identifier is 1306974811, issued on Feb 28, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Park Ridge, IL. The record was last updated on Oct 6, 2022.