Ida Riva Jamandron Caro in Herrin - Physical Therapist
Ida Riva Jamandron Caro - NPI 1104092956
Ida Riva Jamandron Caro is a Physical Therapist in Herrin, Illinois. Ida Riva Jamandron Caro practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Ida Riva Jamandron Caro is 1104092956. The last update date is 2008-05-01.
Ida Riva Jamandron Caro's current location address is 201 S 14th St, Herrin, Illinois. You can contact this provider via phone number 6189422171 and fax number 6183514926. The mailing address for Ida Riva Jamandron Caro is 201 S 14th St, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ida Riva Jamandron Caro |
|---|---|
| Address | 201 S 14th St, Herrin, Illinois |
| Phone Number | 6189422171 |
| Fax Number | 6183514926 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1104092956 |
|---|---|
| Provider Enumeration Date | 2008-05-01 |
| Last Updated Date | 2008-05-01 |
Provider Mailing Address Detail
| Address | 201 S 14th St |
|---|---|
| City | Herrin |
| State | Illinois (IL) |
| Post Code | 629483631 |
| Phone Number | 6189422171 |
| Fax Number | 6183514926 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 70016280 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identification code issued to Ida Riva Jamandron Caro by the Centers for Medicare & Medicaid Services?
The Ida Riva Jamandron Caro has been assigned the NPI (National Provider Identifier) 1104092956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Ida Riva Jamandron Caro?
The Ida Riva Jamandron Caro is physically situated at 201 S 14Th St, in the city of Herrin, state of IL, with the postal code 629483631.
What is Ida Riva Jamandron Caro's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ida Riva Jamandron Caro is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
When did the Ida Riva Jamandron Caro receive its 1104092956?
The Ida Riva Jamandron Caro was issued its 1104092956 on 2008-05-01, which is the date when the organization was assigned this unique identifier.
As of what date were the Ida Riva Jamandron Caro's details last updated?
The information pertaining to the Ida Riva Jamandron Caro, including its address, specialty, and other details, was most recently updated on 2008-05-01.