Organization Name: | ALIGN PHYSICAL THERAPY ,LLC |
NPI Number: | 1043573991 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA LOUISE WEBER (PRESIDENT) |
Mailing Address: | 10767 Nyman Ave Hayward |
State: | WI US |
Postal Code: | 548436484 |
Phone Number: | 7156382244 |
Fax Number: | 7156382368 |
NPI Enumeration Date: | 06/15/2012 |
NPI Last Update Date: | 07/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 3564-24 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |