Doctor Name: | MR. EDWARD K RODRIGUEZ |
NPI Number: | 1659595627 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 40QA01005500 |
Business Practice Address: | 1 Corbett Way Eatontown, NJ - 077242264 |
Business Phone Number: | 7325428818 |
Business Fax Number: | 7323896595 |
Mailing Address: | 1 Corbett Way, EATONTOWN |
State: | NJ |
Postal Code: | 077242264 |
Phone Number: | 7325428818 |
Fax Number: | 7323896595 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01005500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |