Organization Name: | PROSTAR PHYSICAL THERAPY, LLC |
NPI Number: | 1023312535 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD J KRAMER (MANAGER) |
Mailing Address: | 4533 Hollywood Blvd Hollywood |
State: | FL US |
Postal Code: | 330216611 |
Phone Number: | 9543421177 |
Fax Number: | 9545100138 |
NPI Enumeration Date: | 12/28/2010 |
NPI Last Update Date: | 04/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT5627 |
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 |