Doctor Name: | ERIC D BALDONADO |
NPI Number: | 1649468232 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 11-02819 |
Business Practice Address: | 401 Woodland Hills Blvd Fort Scott, KS - 667018797 |
Business Phone Number: | 6202237029 |
Business Fax Number: | |
Mailing Address: | 884 209th Ter, FORT SCOTT |
State: | KS |
Postal Code: | 667018508 |
Phone Number: | 6202230817 |
Fax Number: | 6202238567 |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-02819 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |