Doctor Name: | MR. JOHN NISBET |
NPI Number: | 1831166495 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT6596 |
Business Practice Address: | 200 Porter Dr Suite 101 San Ramon, CA - 945831587 |
Business Phone Number: | 9258381440 |
Business Fax Number: | |
Mailing Address: | 200 Porter Dr, Suite 101 SAN RAMON |
State: | CA |
Postal Code: | 945831587 |
Phone Number: | 9258381440 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 04/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT6596 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |