Doctor Name: | TYRONE PAMILOZA |
NPI Number: | 1336518760 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 93762922401 |
Business Practice Address: | 1100 S 2000 E Apt E239 Clearfield, UT - 840151485 |
Business Phone Number: | 3854197379 |
Business Fax Number: | |
Mailing Address: | 2084 N 1700 W, LAYTON |
State: | UT |
Postal Code: | 840411100 |
Phone Number: | 3854197379 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2015 |
NPI Last Update Date: | 11/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 93762922401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |