Doctor Name: | EMMANUEL JR. DY-LIACCO FLORES |
NPI Number: | 1578683033 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 02594 |
Business Practice Address: | 2700 1st Ave S Suite 200 Fort Dodge, IA - 505014306 |
Business Phone Number: | 5159556922 |
Business Fax Number: | 5159552463 |
Mailing Address: | 825 12th Ave N, FORT DODGE |
State: | IA |
Postal Code: | 505012527 |
Phone Number: | 5155766524 |
Fax Number: | 5159552463 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |