Doctor Name: | JESSIE CATANE ROA |
NPI Number: | 1336391432 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT000081 |
Business Practice Address: | 388 Ypao Rd Tamuning, GU - 969133701 |
Business Phone Number: | 6716468881 |
Business Fax Number: | 6716482565 |
Mailing Address: | 388 Ypao Rd, TAMUNING |
State: | GU |
Postal Code: | 969133701 |
Phone Number: | 6716468881 |
Fax Number: | 6716482565 |
NPI Enumeration Date: | 10/21/2008 |
NPI Last Update Date: | 10/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT000081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GU |
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 |