Organization Name: | PERSONAL PHYSICAL THERAPY, INC. |
NPI Number: | 1043205925 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DWIGHT A QUALLO (PRESIDENT) |
Mailing Address: | 839 Nw 98th Ave Plantation |
State: | FL US |
Postal Code: | 333246129 |
Phone Number: | 9545998359 |
Fax Number: | 9543708291 |
NPI Enumeration Date: | 09/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 8870 |
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 |