Doctor Name: | PAUL A JURICA |
NPI Number: | 1902091739 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 1169150 |
Business Practice Address: | 2428 E Austin St Giddings, TX - 789423648 |
Business Phone Number: | 9795427300 |
Business Fax Number: | 9795427373 |
Mailing Address: | Po Box 1615, GIDDINGS |
State: | TX |
Postal Code: | 789421475 |
Phone Number: | 9795427300 |
Fax Number: | 9795427373 |
NPI Enumeration Date: | 09/14/2007 |
NPI Last Update Date: | 09/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1169150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |