Doctor Name: | MR. PAUL T ECKERD |
NPI Number: | 1952364879 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT CERT MDT |
License Number: | 2305204538 |
Business Practice Address: | 6049 Harbour Park Drive Midlothian, VA - 23112 |
Business Phone Number: | 8046392359 |
Business Fax Number: | 8046392029 |
Mailing Address: | 771 Pilot House Drive, NEWPORT NEWS |
State: | VA |
Postal Code: | 23606 |
Phone Number: | 7578732302 |
Fax Number: | 7578732306 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 04/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305204538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |