Doctor Name: | JOANNE MARY POOLE |
NPI Number: | 1194873331 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 05005197A |
Business Practice Address: | 5908 E 1050 S Lynn, IN - 473558914 |
Business Phone Number: | 7652770472 |
Business Fax Number: | 7658741784 |
Mailing Address: | 5908 E 1050 S, LYNN |
State: | IN |
Postal Code: | 473558914 |
Phone Number: | 7652770472 |
Fax Number: | 7658741784 |
NPI Enumeration Date: | 01/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05005197A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |