Organization Name: | MILL VALLEY PHYSICAL THERAPY PARTNERSHIP |
NPI Number: | 1013256361 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODNEY R HESCHONG (OWNER / PHYSICAL THERAPIST) |
Mailing Address: | 619 E Blithedale Ave Bldg. B Mill Valley |
State: | CA US |
Postal Code: | 949411482 |
Phone Number: | 4153885223 |
Fax Number: | 4153885270 |
NPI Enumeration Date: | 02/06/2013 |
NPI Last Update Date: | 03/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |