Doctor Name: | MR. EUGENE SELSO MONTANO |
NPI Number: | 1871582262 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 05001704A |
Business Practice Address: | 655 7th St Bldg 700/700-a 78 Mdg/sgoy Robins Afb, GA - 310982227 |
Business Phone Number: | 4783277798 |
Business Fax Number: | |
Mailing Address: | 655 7th St, Bldg 700/700-a 78 Mdg/sgoy ROBINS AFB |
State: | GA |
Postal Code: | 310982227 |
Phone Number: | 4783277798 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 09/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05001704A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |