Organization Name: | HAMILTON PHYSICAL THERAPY PC |
NPI Number: | 1023057064 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS JAY MARTIN (OWNER) |
Mailing Address: | 336 Fairgrounds Rd Hamilton |
State: | MT US |
Postal Code: | 598403126 |
Phone Number: | 4063750980 |
Fax Number: | 4063759938 |
NPI Enumeration Date: | 06/05/2006 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |