Doctor Name: | ANGELA DEFAZIO |
NPI Number: | 1891100566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T |
License Number: | 60161880 |
Business Practice Address: | 463 Tremont St W Suite 100 Port Orchard, WA - 983663743 |
Business Phone Number: | 3608740745 |
Business Fax Number: | |
Mailing Address: | 463 Tremont St W, Suite 100 PORT ORCHARD |
State: | WA |
Postal Code: | 983663743 |
Phone Number: | 3608740745 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2014 |
NPI Last Update Date: | 06/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 60161880 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |