Doctor Name: | COLEEN BAQUERO |
NPI Number: | 1023451226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MSPT |
License Number: | 40QA01106700 |
Business Practice Address: | 19 Wylie Ter Morganville, NJ - 077511436 |
Business Phone Number: | 7325471968 |
Business Fax Number: | |
Mailing Address: | 19 Wylie Ter, MORGANVILLE |
State: | NJ |
Postal Code: | 077511436 |
Phone Number: | 7325471968 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2013 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01106700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |