Doctor Name: | JUAN MARTIN ROMERO BALBOA |
NPI Number: | 1982033932 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | PT26216 |
Business Practice Address: | 797 Teague Trl Apt 2202 Lady Lake, FL - 321593110 |
Business Phone Number: | 4029574248 |
Business Fax Number: | |
Mailing Address: | 797 Teague Trl, Apt 2202 LADY LAKE |
State: | FL |
Postal Code: | 321593110 |
Phone Number: | 4029574248 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2013 |
NPI Last Update Date: | 11/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT26216 |
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 |