Doctor Name: | MR. ROBERTO C INFANTE |
NPI Number: | 1891701488 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2156 |
Business Practice Address: | 1510 W Branch St Arroyo Grande, CA - 934201817 |
Business Phone Number: | 8054897912 |
Business Fax Number: | 8054899697 |
Mailing Address: | 805 Aerovista Pl, #201 SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934017919 |
Phone Number: | 8057880805 |
Fax Number: | 8057880845 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 05/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2156 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
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 |