Organization Name: | WELLPOINT PHYSICAL THERAPY SERVICES, P.C. |
NPI Number: | 1033234638 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KARL HERMANN (PRESIDENT) |
Mailing Address: | 4190 State Highway 6 S College Station |
State: | TX US |
Postal Code: | 778458964 |
Phone Number: | 9796901999 |
Fax Number: | 9796901906 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 02/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1093607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |