Provider Demographics
NPI:1538613005
Name:APLICADOR, IAN RU EUGENIO (PT)
Entity type:Individual
Prefix:MR
First Name:IAN RU
Middle Name:EUGENIO
Last Name:APLICADOR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 MURCIA DR
Mailing Address - Street 2:APT 211
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2748
Mailing Address - Country:US
Mailing Address - Phone:425-299-1677
Mailing Address - Fax:
Practice Address - Street 1:275 MURCIA DR
Practice Address - Street 2:APT 211
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2748
Practice Address - Country:US
Practice Address - Phone:425-299-1677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT31482225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist