Organization Name: | THE BERNSTEIN INSTITUTE FOR TRAUMA TREATMENT |
NPI Number: | 1013337161 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER MARK BERNSTEIN (PRESIDENT) |
Mailing Address: | 501 2nd St Petaluma |
State: | CA US |
Postal Code: | 949525121 |
Phone Number: | 7077813335 |
Fax Number: | 7077628763 |
NPI Enumeration Date: | 04/16/2014 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 633153 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |