Doctor Name: | PAMELA PINO |
NPI Number: | 1609248707 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4499 |
Business Practice Address: | 510 W Maloney Ave Gallup, NM - 873015489 |
Business Phone Number: | 5054882615 |
Business Fax Number: | |
Mailing Address: | 15 Apex Dr., HIGHLAND |
State: | IL |
Postal Code: | 62249 |
Phone Number: | 6184410482 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2015 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4499 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |