Doctor Name: | MR. ROSAURO MENDOZA AQUINO |
NPI Number: | 1295809135 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 022156-1 |
Business Practice Address: | 25 Prospect Ave 2nd Floor Hackensack, NJ - 076011960 |
Business Phone Number: | 2013421401 |
Business Fax Number: | 2013421867 |
Mailing Address: | 272 Custer Ave, Floor 1 JERSEY CITY |
State: | NJ |
Postal Code: | 073051705 |
Phone Number: | 2017794393 |
Fax Number: | 2013421867 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 022156-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |