Doctor Name: | COLLEEN JOY VIRGILIO |
NPI Number: | 1629139514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | |
Business Practice Address: | 2120 Benton Dr Canyonwood Nursing & Rehabilitation Center Redding, CA - 96002 |
Business Phone Number: | 5302436317 |
Business Fax Number: | |
Mailing Address: | 15322 Flying B Road, OAK RUN |
State: | CA |
Postal Code: | 96069 |
Phone Number: | 5304721159 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |