Doctor Name: | PARTHIV MOULESHKUMAR PATHAK |
NPI Number: | 1043548530 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 032052 |
Business Practice Address: | 2328 Bella Vista Way Port Saint Lucie, FL - 349522632 |
Business Phone Number: | 7327134781 |
Business Fax Number: | |
Mailing Address: | 2328 Bella Vista Way, PORT SAINT LUCIE |
State: | FL |
Postal Code: | 349522632 |
Phone Number: | 7327134781 |
Fax Number: | |
NPI Enumeration Date: | 11/23/2009 |
NPI Last Update Date: | 09/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 032052 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |