Doctor Name: | ELEANOR INNOCENT |
NPI Number: | 1003144155 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT25935 |
Business Practice Address: | 3100 E Fletcher Ave Tampa, FL - 336134613 |
Business Phone Number: | 8136157200 |
Business Fax Number: | |
Mailing Address: | 8517 Sea Harbour Ln, Apt #306 TEMPLE TERRACE |
State: | FL |
Postal Code: | 336371045 |
Phone Number: | 9042331975 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2009 |
NPI Last Update Date: | 02/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT25935 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |