Doctor Name: | MR. ROGER JENNINGS GILES |
NPI Number: | 1093837437 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 0154 |
Business Practice Address: | 1251 Ne Elm St Suite 2a Prineville, OR - 977541206 |
Business Phone Number: | 5414476846 |
Business Fax Number: | 5414471243 |
Mailing Address: | 2263 Se Landing Way, PRINEVILLE |
State: | OR |
Postal Code: | 977548258 |
Phone Number: | 5414475649 |
Fax Number: | 5414471243 |
NPI Enumeration Date: | 04/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |