Doctor Name: | MISS IRENE SERNADILLA GALLEVO |
NPI Number: | 1740457274 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 8102 |
Business Practice Address: | 226 Mill Hill Ave Bridgeport, CT - 066102826 |
Business Phone Number: | 2033367338 |
Business Fax Number: | 2033667114 |
Mailing Address: | 455 N Summerfield Ave, Apartment B1 BRIDGEPORT |
State: | CT |
Postal Code: | 066102537 |
Phone Number: | 2038731853 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2008 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |