Provider Demographics
NPI:1629722459
Name:TERBIO, EMMANUEL
Entity Type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:
Last Name:TERBIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11815 BERNARDO TERRACE APARTMENT E-202
Mailing Address - Street 2:11815 BERNARDO TERRACE APARTMENT E-202
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-1978
Mailing Address - Country:US
Mailing Address - Phone:808-783-3641
Mailing Address - Fax:
Practice Address - Street 1:11815 BERNARDO TERRACE APARTMENT E-202
Practice Address - Street 2:11815 BERNARDO TERRACE APARTMENT E-202
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-1978
Practice Address - Country:US
Practice Address - Phone:808-783-3641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics