Doctor Name: | MR. JUAN CARLOS QUIROGA |
NPI Number: | 1568699973 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 24636 |
Business Practice Address: | 1250 Pine Ridge Rd Suite # 3 Naples, FL - 341088913 |
Business Phone Number: | 2392612663 |
Business Fax Number: | 6143860604 |
Mailing Address: | 651 Bracket St, FORT MILL |
State: | SC |
Postal Code: | 297086459 |
Phone Number: | 8037467186 |
Fax Number: | 6143860604 |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 24636 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |