Doctor Name: | MR. ROCKY PUA DEL ROSARIO |
NPI Number: | 1558698118 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT60095716 |
Business Practice Address: | 3290 N. Ridge Suite 290 Cambridge Healthcare Executive Center Ii Ellicott City, MD - 21043 |
Business Phone Number: | 4102927097 |
Business Fax Number: | 4107500787 |
Mailing Address: | 3290 N. Ridge, Suite 290 Cambridge Healthcare Executive Center Ii ELLICOTT CITY |
State: | MD |
Postal Code: | 21043 |
Phone Number: | 4102927097 |
Fax Number: | 4107500787 |
NPI Enumeration Date: | 11/03/2009 |
NPI Last Update Date: | 11/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT60095716 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |