Doctor Name: | DEEPA MURUKESAN |
NPI Number: | 1104153618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 070.017114 |
Business Practice Address: | 4810 34th Avenue A Moline, IL - 612656602 |
Business Phone Number: | 3097626808 |
Business Fax Number: | |
Mailing Address: | 4810 34th Avenue A, MOLINE |
State: | IL |
Postal Code: | 612656602 |
Phone Number: | 3097626808 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2009 |
NPI Last Update Date: | 11/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.017114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |