Doctor Name: | MARISA BALL ISAAC |
NPI Number: | 1750525234 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | PT24653 |
Business Practice Address: | 1 University Blvd Saint Augustine, FL - 320865799 |
Business Phone Number: | 9048293411 |
Business Fax Number: | 9048293412 |
Mailing Address: | 1 University Blvd, SAINT AUGUSTINE |
State: | FL |
Postal Code: | 320865799 |
Phone Number: | 9048293411 |
Fax Number: | 9048293412 |
NPI Enumeration Date: | 04/28/2009 |
NPI Last Update Date: | 03/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT24653 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |