Doctor Name: | LORRAINE ANDREWS ROLLER |
NPI Number: | 1124194147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 7827 |
Business Practice Address: | 7200 Redwood Blvd #200 Novato, CA - 949453250 |
Business Phone Number: | 4158934143 |
Business Fax Number: | |
Mailing Address: | 132 Mariner Green Ct, CORTE MADERA |
State: | CA |
Postal Code: | 949252014 |
Phone Number: | 4159240649 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 7827 |
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 |