Doctor Name: | LEILANE RITA MONTECALVO CONOPIO |
NPI Number: | 1699004432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 070.016809 |
Business Practice Address: | 3333 W Deyoung St Marion, IL - 629595884 |
Business Phone Number: | 6189987074 |
Business Fax Number: | 6189987515 |
Mailing Address: | 1920 Old Springville Rd, CENTER POINT |
State: | AL |
Postal Code: | 352155858 |
Phone Number: | 2055209600 |
Fax Number: | 2055200455 |
NPI Enumeration Date: | 12/07/2009 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.016809 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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 |