Organization Name: | UPSTATE PHYSICAL THERAPY PC |
NPI Number: | 1053417410 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW LAWRENCE INFANZON (OWNER PHYSICAL THERAPIST) |
Mailing Address: | 4401 North I-35 Suite 110 Denton |
State: | TX US |
Postal Code: | 76207 |
Phone Number: | 9404839020 |
Fax Number: | 9404839021 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 655410000 |
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 |