Doctor Name: | EDWIN HERRERO |
NPI Number: | 1124439484 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT 37674 |
Business Practice Address: | 830 N Diamond Bar Blvd. Diamond Bar, CA - 917651039 |
Business Phone Number: | 7145900100 |
Business Fax Number: | 7145900089 |
Mailing Address: | 830 N Diamond Bar Blvd., DIAMOND BAR |
State: | CA |
Postal Code: | 917651039 |
Phone Number: | 7145900100 |
Fax Number: | 7145900089 |
NPI Enumeration Date: | 05/08/2014 |
NPI Last Update Date: | 05/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 37674 |
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 |