Doctor Name: | MRS. ROSAMARIA PUENTE |
NPI Number: | 1477720118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 004181 |
Business Practice Address: | 5260 Northwest Blvd Suite #2 Davenport, IA - 528062463 |
Business Phone Number: | 5634452400 |
Business Fax Number: | 5634452404 |
Mailing Address: | 2530 W 44th St, DAVENPORT |
State: | IA |
Postal Code: | 528064918 |
Phone Number: | 5633868979 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2008 |
NPI Last Update Date: | 05/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 004181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |