Provider Demographics
NPI:1316655897
Name:RAO, VANI VAMAN (PT)
Entity type:Individual
Prefix:
First Name:VANI
Middle Name:VAMAN
Last Name:RAO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4367 CAMELOT CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-3190
Mailing Address - Country:US
Mailing Address - Phone:616-510-4685
Mailing Address - Fax:
Practice Address - Street 1:1800 ROBIN LN
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-2086
Practice Address - Country:US
Practice Address - Phone:630-353-5508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist