Doctor Name: | MR. GERALD BREEDLOVE |
NPI Number: | 1184927147 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, ATC |
License Number: | PT0013055 |
Business Practice Address: | 3058 Latimer Rd Rock Creek, OH - 440849632 |
Business Phone Number: | 4405639144 |
Business Fax Number: | |
Mailing Address: | 3058 Latimer Rd, ROCK CREEK |
State: | OH |
Postal Code: | 440849632 |
Phone Number: | 4405639144 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2010 |
NPI Last Update Date: | 04/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0013055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |