Doctor Name: | EDUARDO ALBERTO ENRIQUEZ |
NPI Number: | 1992907794 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P T PC |
License Number: | 5501004167 |
Business Practice Address: | 905 Dexter St Milan, MI - 481601160 |
Business Phone Number: | 7344398410 |
Business Fax Number: | 7344398430 |
Mailing Address: | 5778 New Meadow Dr, YPSILANTI |
State: | MI |
Postal Code: | 481977164 |
Phone Number: | 7344398410 |
Fax Number: | 7344398430 |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 08/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501004167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |