Doctor Name: | RAMON ENGRACIA |
NPI Number: | 1023356920 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 8765PT |
Business Practice Address: | 2781 Osborn Dr Lake Havasu City, AZ - 864068629 |
Business Phone Number: | 9285055552 |
Business Fax Number: | |
Mailing Address: | 3559 Oro Grande Blvd, LAKE HAVASU CITY |
State: | AZ |
Postal Code: | 864067206 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/28/2013 |
NPI Last Update Date: | 01/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8765PT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |