Doctor Name: | MR. ROBERTO SABELLANO GO |
NPI Number: | 1114185329 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT40QA00973500 |
Business Practice Address: | 6 Main St Madison, NJ - 079401883 |
Business Phone Number: | 9739665580 |
Business Fax Number: | |
Mailing Address: | 265 Lake Shore Dr, LAKE HIAWATHA |
State: | NJ |
Postal Code: | 070341603 |
Phone Number: | 9732994443 |
Fax Number: | 9732994443 |
NPI Enumeration Date: | 05/26/2008 |
NPI Last Update Date: | 05/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT40QA00973500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |