Doctor Name: | MRS. JACQUELINE SUZANNE ROOD |
NPI Number: | 1497754832 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT20566 |
Business Practice Address: | 2525 Erringer Rd Suite B Simi Valley, CA - 930652352 |
Business Phone Number: | 8055262311 |
Business Fax Number: | 8055275246 |
Mailing Address: | 2525 Erringer Rd, Suite B SIMI VALLEY |
State: | CA |
Postal Code: | 930652352 |
Phone Number: | 8055262311 |
Fax Number: | 8055275246 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 09/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT20566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |