Doctor Name: | JONAS CARULLO SABLAN |
NPI Number: | 1023352481 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT021971 |
Business Practice Address: | 1157 Highway 17 Tuscumbia, MO - 650822100 |
Business Phone Number: | 5733692318 |
Business Fax Number: | |
Mailing Address: | 907 Southwest Blvd, B12 JEFFERSON CITY |
State: | MO |
Postal Code: | 651092672 |
Phone Number: | 5736946658 |
Fax Number: | |
NPI Enumeration Date: | 11/23/2012 |
NPI Last Update Date: | 11/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT021971 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |