Doctor Name: | MRS. VANESSA DEJILLO ACOSTA |
NPI Number: | 1316261175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 3815 |
Business Practice Address: | 1717 E Chicago Rd Sturgis, MI - 490918524 |
Business Phone Number: | 2696594468 |
Business Fax Number: | |
Mailing Address: | 255 Memorial Dr, E15 STURGIS |
State: | MI |
Postal Code: | 490918860 |
Phone Number: | 2692677095 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2010 |
NPI Last Update Date: | 03/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3815 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
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 |