Doctor Name: | MRS. MARICON SIAPNO PEPINGCO |
NPI Number: | 1710197819 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT019272 |
Business Practice Address: | 913 7th Ave Alpha, NJ - 088654543 |
Business Phone Number: | 9083879321 |
Business Fax Number: | |
Mailing Address: | 913 7th Ave, ALPHA |
State: | NJ |
Postal Code: | 088654543 |
Phone Number: | 9083879321 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT019272 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |