Doctor Name: | BRENT BLOYER |
NPI Number: | 1013087972 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT 13667 |
Business Practice Address: | 16237 Sw 15th St Pembroke Pines, FL - 330275128 |
Business Phone Number: | 9544470051 |
Business Fax Number: | |
Mailing Address: | 16237 Sw 15th St, PEMBROKE PINES |
State: | FL |
Postal Code: | 330275128 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 13667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |