Doctor Name: | DOMISITA MERCADER |
NPI Number: | 1033566856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 11591 |
Business Practice Address: | 15520 Granby Pl Tampa, FL - 336241584 |
Business Phone Number: | 8133907375 |
Business Fax Number: | 8132698822 |
Mailing Address: | 15520 Granby Pl, TAMPA |
State: | FL |
Postal Code: | 336241584 |
Phone Number: | 8133907375 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2016 |
NPI Last Update Date: | 05/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11591 |
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 |