Individual provider · Type 1 NPI

Shannon L. Tully, D.P.T.

Pediatric Physical Therapist · Glenview, IL

NPI number 1851594717 Active

Practice location

1308 Waukegan Rd, Suite 103
Glenview, IL 60025-3070

Call (847) 486-4140 Map

Fax (847) 589-4140

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X70014569 (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 1851594717

Shannon L. Tully, D.P.T.'s National Provider Identifier is 1851594717, issued on Jun 7, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Glenview, IL. The record was last updated on Jul 8, 2007.