Doctor Name: | MR. KEVIN T. DO |
NPI Number: | 1104078880 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G76640 |
Business Practice Address: | 14191 Newport Ave Tustin, CA - 92780 |
Business Phone Number: | 7145087333 |
Business Fax Number: | 7145087305 |
Mailing Address: | 14191 Newport Ave., TUSTIN |
State: | CA |
Postal Code: | 92780 |
Phone Number: | 7145087333 |
Fax Number: | 7145087305 |
NPI Enumeration Date: | 10/14/2008 |
NPI Last Update Date: | 10/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | G76640 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |