Provider Demographics
NPI:1710185269
Name:DEANG, RODNEY CUA (PT)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:CUA
Last Name:DEANG
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 1:3317 YALE DR
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-7305
Mailing Address - Country:US
Mailing Address - Phone:812-568-5048
Mailing Address - Fax:
Practice Address - Street 1:650 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-3306
Practice Address - Country:US
Practice Address - Phone:812-425-5243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008294A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist