Doctor Name: | ROBERT BLUMBERG |
NPI Number: | 1740452663 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070.016319 |
Business Practice Address: | 144 Lincoln Place Ct Suite 1 Belleville, IL - 622215878 |
Business Phone Number: | 6182335163 |
Business Fax Number: | 6182335164 |
Mailing Address: | 15 Apex Dr, HIGHLAND |
State: | IL |
Postal Code: | 622491282 |
Phone Number: | 6186510444 |
Fax Number: | 6186545439 |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.016319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |