Doctor Name: | MS. LYGEA A SAN PEDRO |
NPI Number: | 1679783070 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | 05004629 |
Business Practice Address: | 1904 S 15th St Goshen, IN - 465264910 |
Business Phone Number: | 5745374022 |
Business Fax Number: | |
Mailing Address: | 13460 Cedar Creek Heights Dr., MIDDLEBURY |
State: | IN |
Postal Code: | 46540 |
Phone Number: | 5748258185 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05004629 |
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 |