Doctor Name: | EDDY LEONARD ROBERTSON |
NPI Number: | 1891751087 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT00007122 |
Business Practice Address: | 1620 Se Summit Ct Pullman, WA - 991635519 |
Business Phone Number: | 5093325106 |
Business Fax Number: | 5093345723 |
Mailing Address: | 803 Line Street, Box 28 COLTON |
State: | WA |
Postal Code: | 99113 |
Phone Number: | 5092293979 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00007122 |
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 |