Doctor Name: | ERNEST RICHARD LEDESMA |
NPI Number: | 1063589042 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT003700 |
Business Practice Address: | 124 Post House Trl Pooler, GA - 313229624 |
Business Phone Number: | 9124501468 |
Business Fax Number: | 9124501470 |
Mailing Address: | 340 Eisenhower Dr, Bldg 1400 Suite A SAVANNAH |
State: | GA |
Postal Code: | 314061600 |
Phone Number: | 9124010443 |
Fax Number: | 9124010445 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 10/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT003700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |