Organization Name: | GOODLIFE PHYSICAL THERAPY |
NPI Number: | 1053557264 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIRAB MICKEY SHAH (PHYSICAL THERAPIST) |
Mailing Address: | 7700 Graphic Dr Tinley Park |
State: | IL US |
Postal Code: | 604776228 |
Phone Number: | 7083087919 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2008 |
NPI Last Update Date: | 04/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-013727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |