Doctor Name: | MISS MAILA HIZOLA CELINO |
NPI Number: | 1245595032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | J1-0002781 |
Business Practice Address: | 4132 Fairlake Ln Apt A Glen Allen, VA - 230602709 |
Business Phone Number: | 4076200933 |
Business Fax Number: | |
Mailing Address: | 4132 Fairlake Ln Apt A, GLEN ALLEN |
State: | VA |
Postal Code: | 230602709 |
Phone Number: | 4076200933 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2012 |
NPI Last Update Date: | 02/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | J1-0002781 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |