| Doctor Name: | MR. GIOVANNI COLEONGCO DU AY |
| NPI Number: | 1558729707 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | 1196790 |
| Business Practice Address: | 1615 Franklin Rd Sw Roanoke, VA - 240165208 |
| Business Phone Number: | 5402244800 |
| Business Fax Number: | |
| Mailing Address: | 379 Highland Ave Sw, Apt. 203 ROANOKE |
| State: | VA |
| Postal Code: | 240164321 |
| Phone Number: | 5404921584 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2016 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1196790 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| 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 |