Doctor Name: | ROSLIN HIDAYAT |
NPI Number: | 1437179389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T |
License Number: | 4155 |
Business Practice Address: | 151 Knollcroft Rd Bld 19 Apt 18 Lyons, NJ - 07939 |
Business Phone Number: | 9083503064 |
Business Fax Number: | |
Mailing Address: | 151 Knollcroft Rd Bld 19, Apt 18 LYONS |
State: | NJ |
Postal Code: | 07939 |
Phone Number: | 9083503064 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |