Doctor Name: | LUCAS NUNES RABELLO |
NPI Number: | 1891015749 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 031467 |
Business Practice Address: | 1554 S Water St Starke, FL - 320914511 |
Business Phone Number: | 9049642208 |
Business Fax Number: | |
Mailing Address: | 3606 Nw 24th Blvd, Apt 112 GAINESVILLE |
State: | FL |
Postal Code: | 326055654 |
Phone Number: | 3865381288 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2010 |
NPI Last Update Date: | 06/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 031467 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |