Doctor Name: | NICOLE M IRIZARRY |
NPI Number: | 1003088063 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 33914 |
Business Practice Address: | 510 E Naples St Chula Vista, CA - 919112519 |
Business Phone Number: | 6194216083 |
Business Fax Number: | |
Mailing Address: | 3959 Hamilton Street #7, SAN DIEGO |
State: | CA |
Postal Code: | 92104 |
Phone Number: | 9512655944 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 03/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 33914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |