Jeanzen Michell Lintag Raqueno in Linwood - Physical Therapist
Jeanzen Michell Lintag Raqueno - NPI 1164694402
Jeanzen Michell Lintag Raqueno is a Physical Therapist in Linwood, Pennsylvania. Jeanzen Michell Lintag Raqueno practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jeanzen Michell Lintag Raqueno is 1164694402. The last update date is 2011-03-15.
Jeanzen Michell Lintag Raqueno's current location address is 1501 Blueball Ave, Linwood, Pennsylvania. You can contact this provider via phone number 6108598850 and fax number 6106729936. The mailing address for Jeanzen Michell Lintag Raqueno is 1501 Blueball Ave, Linwood, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeanzen Michell Lintag Raqueno |
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Address | 1501 Blueball Ave, Linwood, Pennsylvania |
Phone Number | 6108598850 |
Fax Number | 6106729936 |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1164694402 |
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Provider Enumeration Date | 2008-03-27 |
Last Updated Date | 2011-03-15 |
Provider Mailing Address Detail
Address | 1501 Blueball Ave |
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City | Linwood |
State | Pennsylvania (PA) |
Post Code | 190613922 |
Phone Number | 6108598850 |
Fax Number | 6106729936 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | J1-0002167 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
295853 | DE | UNISON | |
1164694402 | DE | -- | |
3761297000 | IBC PERSONAL CHOICE | ||
12033691 | CAQH |
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What is the unique identification code assigned to Jeanzen Michell Lintag Raqueno by the Centers for Medicare & Medicaid Services?
The Jeanzen Michell Lintag Raqueno has been issued the NPI (National Provider Identifier) 1164694402. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jeanzen Michell Lintag Raqueno?
The Jeanzen Michell Lintag Raqueno is physically situated at 1501 Blueball Ave, in the city of Linwood, state of PA, with the postal code 190613922.
What is Jeanzen Michell Lintag Raqueno's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeanzen Michell Lintag Raqueno is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date did the Jeanzen Michell Lintag Raqueno receive its 1164694402 assignment from the Centers for Medicare & Medicaid Services?
The Jeanzen Michell Lintag Raqueno was assigned its 1164694402 by the Centers for Medicare & Medicaid Services on 2008-03-27.
As of what date were the Jeanzen Michell Lintag Raqueno's details last updated?
The information pertaining to the Jeanzen Michell Lintag Raqueno, including its address, specialty, and other details, was most recently updated on 2011-03-15.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC