Doctor Name: | MICHAEL PEREGRINO |
NPI Number: | 1184825085 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 3332 |
Business Practice Address: | 1100 Central Ave Se Albuquerque, NM - 871064930 |
Business Phone Number: | 5058411079 |
Business Fax Number: | |
Mailing Address: | 222 Maple St Ne Apt 57, ALBUQUERQUE |
State: | NM |
Postal Code: | 871064645 |
Phone Number: | 5054632025 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |