Doctor Name: | MR. PERCIVAL CORPUZ |
NPI Number: | 1235402207 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | J1-0002767 |
Business Practice Address: | 715 E King St Seaford, DE - 199733505 |
Business Phone Number: | 6109254148 |
Business Fax Number: | 6103474948 |
Mailing Address: | 3100 Turtlebrook Ct, DAYTON |
State: | OH |
Postal Code: | 454141783 |
Phone Number: | 4435095071 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2012 |
NPI Last Update Date: | 02/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | J1-0002767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
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 |