Organization Name: | ACTION PHYSICAL THERAPY OF MARINA |
NPI Number: | 1023037017 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG DARRYL SCHMITZ (CEO) |
Mailing Address: | 266 Reservation Rd Suite O Marina |
State: | CA US |
Postal Code: | 939333179 |
Phone Number: | 8318839560 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT11697 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |