Doctor Name: | MR. BENJAMIN C ISIP |
NPI Number: | 1568561579 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT/L |
License Number: | PT16394 |
Business Practice Address: | 12832 Garden Grove Blvd. Suite A Garden Grove, CA - 928432002 |
Business Phone Number: | 7145341100 |
Business Fax Number: | 7145341140 |
Mailing Address: | 12832 Garden Grove Blvd., Suite A GARDEN GROVE |
State: | CA |
Postal Code: | 928432002 |
Phone Number: | 7145341100 |
Fax Number: | 7145341140 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 05/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT16394 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |