Organization Name: | PHYSICAL THERAPY CENTER,LLC |
NPI Number: | 1053545988 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TODD DOUGLAS KOOS (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 1730 Dickerson Blvd Ste I Monroe |
State: | NC US |
Postal Code: | 281102884 |
Phone Number: | 7042885989 |
Fax Number: | 7042881989 |
NPI Enumeration Date: | 05/06/2009 |
NPI Last Update Date: | 06/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |