Doctor Name: | FNU FARISA |
NPI Number: | 1538325402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5501013879 |
Business Practice Address: | 1100 Joliet St Suite 205 Dyer, IN - 463111996 |
Business Phone Number: | 2198643300 |
Business Fax Number: | 2198642569 |
Mailing Address: | 1100 Joliet St, Suite 205 DYER |
State: | IN |
Postal Code: | 463111996 |
Phone Number: | 2198643300 |
Fax Number: | 2198642569 |
NPI Enumeration Date: | 07/31/2008 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501013879 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
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 |