Doctor Name: | LOWELL S LIWANAG |
NPI Number: | 1780600155 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT, WCC, CWS |
License Number: | PT11021 |
Business Practice Address: | 2027 State Road 60 E Lake Wales, FL - 338985113 |
Business Phone Number: | 8636781557 |
Business Fax Number: | 8636762077 |
Mailing Address: | Po Box 1168, LAKE WALES |
State: | FL |
Postal Code: | 338591168 |
Phone Number: | 8636781557 |
Fax Number: | 8635829279 |
NPI Enumeration Date: | 07/15/2006 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT11021 |
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 |