Doctor Name: | ERNESTO TENEDOR |
NPI Number: | 1043413347 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPT |
License Number: | PT008188 |
Business Practice Address: | 1325 Churchill Hubbard Rd Youngstown, OH - 445051346 |
Business Phone Number: | 3307595904 |
Business Fax Number: | 3307598709 |
Mailing Address: | 1325 Churchill Hubbard Rd, YOUNGSTOWN |
State: | OH |
Postal Code: | 445051346 |
Phone Number: | 3307595904 |
Fax Number: | 3307598709 |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 02/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT008188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |