Doctor Name: | HERNANI PANTINOPLE |
NPI Number: | 1588646178 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT011887L |
Business Practice Address: | Hc 1 Box 110 Route209 Brodheadsville, PA - 183229532 |
Business Phone Number: | 5709924400 |
Business Fax Number: | 5709925262 |
Mailing Address: | 223 Blue Mountain Lk, EAST STROUDSBURG |
State: | PA |
Postal Code: | 183018691 |
Phone Number: | 2012813619 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT011887L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |