Doctor Name: | MRS. RESA SATURDAY BARAWID |
NPI Number: | 1659481448 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT 0002435 |
Business Practice Address: | 9160 Highway 64 Suite 3 Lakeland, TN - 380024766 |
Business Phone Number: | 9013884474 |
Business Fax Number: | 9013884486 |
Mailing Address: | Po Box 171422, MEMPHIS |
State: | TN |
Postal Code: | 381871422 |
Phone Number: | 9013884474 |
Fax Number: | 9013884486 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 0002435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |