Doctor Name: | RACHELLE CASTROVERDE OBA-DIOSO |
NPI Number: | 1962500082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT0013759 |
Business Practice Address: | 134 N Old Dixie Hwy Lady Lake, FL - 321594347 |
Business Phone Number: | 3527516627 |
Business Fax Number: | |
Mailing Address: | 4637 Suntree Blvd, ORLANDO |
State: | FL |
Postal Code: | 328173358 |
Phone Number: | 4077869357 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0013759 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |