Doctor Name: | DENNIS GYLLENHAAL |
NPI Number: | 1821041179 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2967 |
Business Practice Address: | 12162 Rancho Vistoso Blvd #120 Oro Valley, AZ - 85755 |
Business Phone Number: | 5202290009 |
Business Fax Number: | 5202290007 |
Mailing Address: | File 50469, LOS ANGELES |
State: | CA |
Postal Code: | 900740469 |
Phone Number: | 5307780200 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 10/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2967 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |