Doctor Name: | NISSA L CASUGA |
NPI Number: | 1134125883 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT29088 |
Business Practice Address: | 6860 Brockton Ave Ste 7 Riverside, CA - 925063816 |
Business Phone Number: | 9513690860 |
Business Fax Number: | 9517744623 |
Mailing Address: | 6850 Brockton Ave, Ste 212 RIVERSIDE |
State: | CA |
Postal Code: | 925063808 |
Phone Number: | 9517744611 |
Fax Number: | 9512763597 |
NPI Enumeration Date: | 06/27/2005 |
NPI Last Update Date: | 02/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT29088 |
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 |