Doctor Name: | MR. JOSEPH GERARD RAUMA |
NPI Number: | 1164710943 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T.A. |
License Number: | 2008298 |
Business Practice Address: | 221 Rosa Ln Nacogdoches, TX - 759651911 |
Business Phone Number: | 8324454934 |
Business Fax Number: | |
Mailing Address: | 221 Rosa Ln, NACOGDOCHES |
State: | TX |
Postal Code: | 759651911 |
Phone Number: | 8324454934 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2011 |
NPI Last Update Date: | 07/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251N0400X |
License Number: | 2008298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Neurology |
Taxonomy Definition: |