| Doctor Name: | MR. ROMMEL B. MIRANDO |
| NPI Number: | 1720161227 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 024451-1 |
| Business Practice Address: | 2937 Mary St La Crescenta, CA - 912143421 |
| Business Phone Number: | 3473937661 |
| Business Fax Number: | |
| Mailing Address: | 2937 Mary St, LA CRESCENTA |
| State: | CA |
| Postal Code: | 912143421 |
| Phone Number: | 3473937661 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 01/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 024451-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| 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 |