IndividualActive
Connie Myjak, PT
NPI 1619048071 · Pediatric Physical Therapist · Crystal Lake, IL
Provider details
- NPI number
- 1619048071
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4421 S Nancy Dr
Crystal Lake, IL 60014-6464
Phone: (815) 444-9746
Approximate (ZIP-level) locationGet directions
Mailing address
4421 S Nancy Dr
Crystal Lake, IL 60014-6464
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.