Doctor Name: | MR. LUISITO RAYMUND CRUZ LIPANA |
NPI Number: | 1144548504 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT40QA01206600 |
Business Practice Address: | 930 Church St Pleasantville, NJ - 082324271 |
Business Phone Number: | 6096466900 |
Business Fax Number: | |
Mailing Address: | 1932 Cologne Ave, Unit K-10 MAYS LANDING |
State: | NJ |
Postal Code: | 083302441 |
Phone Number: | 6092713438 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2010 |
NPI Last Update Date: | 05/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT40QA01206600 |
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 |