Doctor Name: | DR. CARLOS ISAAC ROEL |
NPI Number: | 1821366360 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T., D.P.T., A.T.C. |
License Number: | 37295 |
Business Practice Address: | 1625 Aviation Blvd Redondo Beach, CA - 902782807 |
Business Phone Number: | 3103741614 |
Business Fax Number: | 3103741843 |
Mailing Address: | 1625 Aviation Blvd, REDONDO BEACH |
State: | CA |
Postal Code: | 902782807 |
Phone Number: | 3103741614 |
Fax Number: | 3103741843 |
NPI Enumeration Date: | 12/12/2011 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 37295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |