Doctor Name: | JOHN ROCCO BORROMEO DE LARA |
NPI Number: | 1265619589 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 02594F |
Business Practice Address: | 252 Tyler Christian Dr Houma, LA - 703608927 |
Business Phone Number: | 9852092511 |
Business Fax Number: | |
Mailing Address: | 252 Tyler Christian Dr, HOUMA |
State: | LA |
Postal Code: | 703608927 |
Phone Number: | 9852092511 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2008 |
NPI Last Update Date: | 01/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02594F |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |