Doctor Name: | PATRICK E DESROSIERS |
NPI Number: | 1720269624 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 34149 |
Business Practice Address: | 5601 Norris Canyon Road Suite 130 San Ramon, CA - 945835407 |
Business Phone Number: | 9254630470 |
Business Fax Number: | 9254630473 |
Mailing Address: | 4626 Willow Rd, Suite 200 PLEASANTON |
State: | CA |
Postal Code: | 945882710 |
Phone Number: | 9254630470 |
Fax Number: | 9254630473 |
NPI Enumeration Date: | 11/19/2007 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 34149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |