Doctor Name: | RONALD STIBAL |
NPI Number: | 1952597809 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT 17941 |
Business Practice Address: | 5920 Ne Ray Cir Suite 160 Hillsboro, OR - 971246429 |
Business Phone Number: | 5038449294 |
Business Fax Number: | 5036120212 |
Mailing Address: | 16083 Sw Upper Boones Ferry Rd, Suite 300 TIGARD |
State: | OR |
Postal Code: | 972247736 |
Phone Number: | 8002198835 |
Fax Number: | 5036399699 |
NPI Enumeration Date: | 09/24/2007 |
NPI Last Update Date: | 12/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 17941 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |