Doctor Name: | ALLEN WADJA |
NPI Number: | 1164838074 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1074227 |
Business Practice Address: | 2204 Joe Battle Blvd Ste C 108 El Paso, TX - 79936 |
Business Phone Number: | 9158558237 |
Business Fax Number: | 9158574081 |
Mailing Address: | 4849 N Mesa St, Ste 201 EL PASO |
State: | TX |
Postal Code: | 799125916 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/11/2014 |
NPI Last Update Date: | 07/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1074227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |