Individual provider · Type 1 NPI
Ronaldo San Juan Corachea
Geriatric Physical Therapist · Glendale, NY
Practice location
7608 69th Pl Apt 2B
Glendale, NY 11385-7138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 018679-1 (NY) |
| Pediatric Physical Therapist | 2251P0200X | 018679-1 (NY) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
About NPI 1669793980
Ronaldo San Juan Corachea's National Provider Identifier is 1669793980, issued on Jun 22, 2010. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Glendale, NY. The record was last updated on Jun 22, 2010.