Omar Fonseca
Omar Fonseca is a Physical Therapy Assistant in Woodstock, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
2000 Lake AveWoodstock, IL 60098-7401
Phone: (815) 206-3388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 160.009394 (IL) |
|---|
Record details
| NPI number | 1366101420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 15, 2021 |
| Last updated in NPPES | December 15, 2021 |
| Certification date | December 15, 2021 |
| Mailing address | 277 Deerpath Dr, Genoa City, WI 53128-2504 |
Other providers in Woodstock
-
MS. Denise Augelli-Washko, PTA
2406 Hartland Rd, Woodstock, IL 60098-9763 · (815) 338-0312
-
Matthew R. Banks, PTA
2000 Lake Ave, Woodstock, IL 60098-7401 · (815) 337-7100
-
Shannon Guzick, PTA
708 Washington St, Woodstock, IL 60098-2265 · (815) 338-1707
-
Rebecca Hanover, PTA
708 Washington St, Woodstock, IL 60098-2265 · (815) 338-1707
-
Shannon Kosmatka, PTA
2406 Hartland Rd, Woodstock, IL 60098-9763 · (815) 338-0412
-
Blade Morgan Kowalski
2000 Lake Ave # 2, Woodstock, IL 60098-7401 · (815) 337-7100