Doctor Name: | MISS RINA M IARUSSO |
NPI Number: | 1861447328 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 7122 |
Business Practice Address: | 20225 Mack Ave Grosse Pointe Woods, MI - 482361769 |
Business Phone Number: | 3138826419 |
Business Fax Number: | 3138826470 |
Mailing Address: | 25843 Maritime Cir N, HARRISON TOWNSHIP |
State: | MI |
Postal Code: | 480453071 |
Phone Number: | 9254873530 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7122 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |