Doctor Name: | RENATO CALIXTO |
NPI Number: | 1033322862 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT0010137 |
Business Practice Address: | 1012 Emmett St Suite C Kissimmee, FL - 347415415 |
Business Phone Number: | 4079330891 |
Business Fax Number: | 4079330177 |
Mailing Address: | 14819 Huntcliff Pkwy, ORLANDO |
State: | FL |
Postal Code: | 328245679 |
Phone Number: | 4078265760 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0010137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |