Doctor Name: | EDWARD CANETE |
NPI Number: | 1871618876 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1538 |
Business Practice Address: | 1000 E Aztec Ave Gallup, NM - 873015509 |
Business Phone Number: | 5057211800 |
Business Fax Number: | |
Mailing Address: | 303 Ciniza Ct, GALLUP |
State: | NM |
Postal Code: | 873014563 |
Phone Number: | 5057261399 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |