| Doctor Name: | MR. RENAN CUYSON PABLO |
| NPI Number: | 1689926925 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | 40QA01465700 |
| Business Practice Address: | 100 Metroplex Dr Ste 102 Edison, NJ - 088172684 |
| Business Phone Number: | 7325729600 |
| Business Fax Number: | |
| Mailing Address: | 511 Banks Rd Apt 8a, JASPER |
| State: | AL |
| Postal Code: | 355048157 |
| Phone Number: | 2055222488 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2012 |
| NPI Last Update Date: | 10/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01465700 |
| 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 |