Organization Name: | DEROSA PHYSICAL THERAPY PC |
NPI Number: | 1164506416 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARLENE MARIE DEROSA (OWNER) |
Mailing Address: | 1485 N. Turquoise Dr Suite 220 Flagstaff |
State: | AZ US |
Postal Code: | 86001 |
Phone Number: | 9287746626 |
Fax Number: | 9282143277 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 04/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |