Doctor Name: | RAUL NAMO |
NPI Number: | 1417355439 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 5501013111 |
Business Practice Address: | 9533 Hickoryhurst Dr Nottingham, MD - 212364705 |
Business Phone Number: | 4436823829 |
Business Fax Number: | |
Mailing Address: | 9533 Hickoryhurst Dr, NOTTINGHAM |
State: | MD |
Postal Code: | 212364705 |
Phone Number: | 4436823829 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2014 |
NPI Last Update Date: | 12/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501013111 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
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 |