Wilfredo Bernardo Clavecilla in Marietta - Physical Therapist
Wilfredo Bernardo Clavecilla - NPI 1790908507
Wilfredo Bernardo Clavecilla is a Physical Therapist in Marietta, Georgia. Wilfredo Bernardo Clavecilla practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Wilfredo Bernardo Clavecilla is 1790908507. The last update date is 2020-02-18.
Wilfredo Bernardo Clavecilla's current location address is 3451 Ernest W Barrett Pkwy Nw Ste 130, Marietta, Georgia. You can contact this provider via phone number 7704225078 and fax number 7704270688. The mailing address for Wilfredo Bernardo Clavecilla is 3451 Ernest W Barrett Pkwy Nw Ste 130, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wilfredo Bernardo Clavecilla |
|---|---|
| Address | 3451 Ernest W Barrett Pkwy Nw Ste 130, Marietta, Georgia |
| Phone Number | 7704225078 |
| Fax Number | 7704270688 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1790908507 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2020-02-18 |
Provider Mailing Address Detail
| Address | 3451 Ernest W Barrett Pkwy Nw Ste 130 |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300645035 |
| Phone Number | 7704225078 |
| Fax Number | 7704270688 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT008523 |
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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 identifier code issued to Wilfredo Bernardo Clavecilla by the Centers for Medicare & Medicaid Services?
The Wilfredo Bernardo Clavecilla has been assigned the NPI (National Provider Identifier) 1790908507 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Wilfredo Bernardo Clavecilla?
The Wilfredo Bernardo Clavecilla is situated at 3451 Ernest W Barrett Pkwy Nw Ste 130, in the city of Marietta, state of GA, with the zip code 300645035.
What is Wilfredo Bernardo Clavecilla's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wilfredo Bernardo Clavecilla is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790908507 to Wilfredo Bernardo Clavecilla?
The Centers for Medicare & Medicaid Services originally issued the 1790908507 to Wilfredo Bernardo Clavecilla on 2007-04-10.
When was the information related to Wilfredo Bernardo Clavecilla most recently updated or refreshed?
The details pertaining to the Wilfredo Bernardo Clavecilla, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-02-18.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA