Doctor Name: | ROBERT PRANDI |
NPI Number: | 1164554614 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 00006335 |
Business Practice Address: | 2700 Colonial Dr Apt 305 Centralia, WA - 985318858 |
Business Phone Number: | 3603309346 |
Business Fax Number: | 3603309347 |
Mailing Address: | Po Box 383, LITTLEROCK |
State: | WA |
Postal Code: | 985560383 |
Phone Number: | 3603309346 |
Fax Number: | 3603309347 |
NPI Enumeration Date: | 03/11/2007 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 00006335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |