Doctor Name: | RAUL MATEO TANGUILIG |
NPI Number: | 1710138359 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT09508L |
Business Practice Address: | 230 Independence Rd East Stroudsburg, PA - 183019447 |
Business Phone Number: | 5704200111 |
Business Fax Number: | 5704200746 |
Mailing Address: | 230 Independence Rd, EAST STROUDSBURG |
State: | PA |
Postal Code: | 183019447 |
Phone Number: | 5704200111 |
Fax Number: | 5704200746 |
NPI Enumeration Date: | 10/01/2008 |
NPI Last Update Date: | 10/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT09508L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |