Doctor Name: | MR. CHRIS JAY JALANDO-ON TABAREJO |
NPI Number: | 1104181833 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.P.T. |
License Number: | 1217320 |
Business Practice Address: | 2483 2nd St Suite B Eagle Pass, TX - 788524390 |
Business Phone Number: | 8307765191 |
Business Fax Number: | 8307765520 |
Mailing Address: | 942 Colorado St, Apartment G EAGLE PASS |
State: | TX |
Postal Code: | 788524059 |
Phone Number: | 9548066948 |
Fax Number: | 8666765890 |
NPI Enumeration Date: | 07/09/2012 |
NPI Last Update Date: | 10/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1217320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |