Doctor Name: | GRACE A RICO |
NPI Number: | 1467586891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MPT |
License Number: | 1145522 |
Business Practice Address: | 45-691 Keaahala Rd Rm 30 Kaneohe, HI - 967443569 |
Business Phone Number: | 8082335495 |
Business Fax Number: | 8082335494 |
Mailing Address: | 58-200 Napoonala Pl, HALEIWA |
State: | HI |
Postal Code: | 967128707 |
Phone Number: | 8086380935 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 12/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1145522 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |