Doctor Name: | ROLLANDA FAYETTE MCCOY |
NPI Number: | 1083761514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 20357 |
Business Practice Address: | 4651 Babcock St Ne # 18 Ste 323 Palm Bay, FL - 32905 |
Business Phone Number: | 3216768203 |
Business Fax Number: | 3215743820 |
Mailing Address: | 4502 W Bridalwood Dr, PEORIA |
State: | IL |
Postal Code: | 616152704 |
Phone Number: | 3096922884 |
Fax Number: | 3096922885 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 20357 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |