Doctor Name: | JOSELITO C LARIOSA |
NPI Number: | 1083863229 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 02190 |
Business Practice Address: | 1024 Adams St Jefferson City, MO - 651013408 |
Business Phone Number: | 5736594140 |
Business Fax Number: | |
Mailing Address: | 1711 Chelle Ln, JEFFERSON CITY |
State: | MO |
Postal Code: | 651016009 |
Phone Number: | 5736342997 |
Fax Number: | 5736345836 |
NPI Enumeration Date: | 09/11/2008 |
NPI Last Update Date: | 09/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |