Doctor Name: | MR. JAMES E IRVIN |
NPI Number: | 1306916341 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 3487 |
Business Practice Address: | 4850 E Baseline Rd Suite 114 Mesa, AZ - 85206 |
Business Phone Number: | 4803962781 |
Business Fax Number: | 4808543094 |
Mailing Address: | 4850 E Baseline Rd, Suite 114 MESA |
State: | AZ |
Postal Code: | 85206 |
Phone Number: | 4803962781 |
Fax Number: | 4808543094 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 03/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |