Doctor Name: | MS. RENEE DIEZ MARTIN |
NPI Number: | 1780775627 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 03674 |
Business Practice Address: | 1014 West St. Clare Blvd Suite 1050 Gonzales, LA - 70737 |
Business Phone Number: | 2257432060 |
Business Fax Number: | 2257432065 |
Mailing Address: | 1014 West St. Clare Blvd, Suite 1050 GONZALES |
State: | LA |
Postal Code: | 70737 |
Phone Number: | 2257432060 |
Fax Number: | 2257432065 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 09/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 03674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |