Doctor Name: | MARYDELLE LEILA TACBOBO LEGASPI |
NPI Number: | 1346567161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 031130 |
Business Practice Address: | 4 Ethel Rd Ste 403b Edison, NJ - 088172841 |
Business Phone Number: | 7325492030 |
Business Fax Number: | |
Mailing Address: | 9042 55th Ave, ELMHURST |
State: | NY |
Postal Code: | 113734561 |
Phone Number: | 2013884120 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2010 |
NPI Last Update Date: | 05/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 031130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |