Doctor Name: | DARRELL GERIK |
NPI Number: | 1326038340 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1070431 |
Business Practice Address: | 3851 Roger Brooke Dr Mche-qd/ Credentials Fort Sam Houston, TX - 782344501 |
Business Phone Number: | 2109161920 |
Business Fax Number: | 2109164074 |
Mailing Address: | 6610 Rambling Trail Dr, SAN ANTONIO |
State: | TX |
Postal Code: | 782405515 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/21/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1070431 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
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 |