Doctor Name: | MRS. EMMYLOU BEROU RESTAURO |
NPI Number: | 1285840702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | 05007660A |
Business Practice Address: | 1800 N Wabash Rd Ste 300 Marion, IN - 469521300 |
Business Phone Number: | 7656513229 |
Business Fax Number: | 7656513227 |
Mailing Address: | 2498 Audri Ln, KOKOMO |
State: | IN |
Postal Code: | 469017071 |
Phone Number: | 7654617084 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05007660A |
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 |