Doctor Name: | MS. MARIA LUCIA JIMENEZ-ULLOA |
NPI Number: | 1528100989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 024486-1 |
Business Practice Address: | 20809 Union Tpke Oakland Gardens, NY - 113643235 |
Business Phone Number: | 7184796370 |
Business Fax Number: | |
Mailing Address: | 3516 85th St, Apt 4h JACKSON HEIGHTS |
State: | NY |
Postal Code: | 113725568 |
Phone Number: | 7184571662 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 024486-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |