Doctor Name: | SHAKESPEARE S NUNAG |
NPI Number: | 1134376437 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P,T, |
License Number: | |
Business Practice Address: | 2915 S Hazel St Pine Bluff, AR - 716035008 |
Business Phone Number: | 8705350010 |
Business Fax Number: | |
Mailing Address: | 2504 Sheraton Park Dr, PINE BLUFF |
State: | AR |
Postal Code: | 716036872 |
Phone Number: | 8706714412 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |