Doctor Name: | MISS MARY ELAINE MILLAREZ MABAYAG |
NPI Number: | 1972730786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070.014844 |
Business Practice Address: | 107 E Beckert Rd St. Joseph Residence New London, WI - 549612509 |
Business Phone Number: | 9209825354 |
Business Fax Number: | |
Mailing Address: | 611 E Pine St, Apt. 17 NEW LONDON |
State: | WI |
Postal Code: | 549611967 |
Phone Number: | 7734740858 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.014844 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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 |