Doctor Name: | MR. WWINDELL GO ELLORIMO |
NPI Number: | 1669663977 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 05007687A |
Business Practice Address: | 545 Moonglo Rd Scottsburg, IN - 47170 |
Business Phone Number: | 8122489254 |
Business Fax Number: | |
Mailing Address: | 1015 Plum Ridge Dr, SELLERSBURG |
State: | IN |
Postal Code: | 47172 |
Phone Number: | 8122489254 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2007 |
NPI Last Update Date: | 08/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05007687A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |