Doctor Name: | MARIA S. SEPULVEDA |
NPI Number: | 1518114917 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT3432 |
Business Practice Address: | 1520 Grove St Loudon, TN - 377741575 |
Business Phone Number: | 8654525436 |
Business Fax Number: | |
Mailing Address: | 160 Amohi Way, LOUDON |
State: | TN |
Postal Code: | 377743008 |
Phone Number: | 8654581598 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2008 |
NPI Last Update Date: | 08/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT3432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |