Doctor Name: | CRAIG ROLLA |
NPI Number: | 1902871254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT-013477-L |
Business Practice Address: | 1019 Ghaner Rd Suite 200 Port Matilda, PA - 168707201 |
Business Phone Number: | 8149547056 |
Business Fax Number: | 8149547083 |
Mailing Address: | 1019 Ghaner Rd, Suite 200 PORT MATILDA |
State: | PA |
Postal Code: | 168707201 |
Phone Number: | 8149547056 |
Fax Number: | 8149547083 |
NPI Enumeration Date: | 02/21/2006 |
NPI Last Update Date: | 05/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-013477-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |