Doctor Name: | PAUL PHILLIP BURGENER |
NPI Number: | 1053657288 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT007594 |
Business Practice Address: | 156 Nw California Blvd Port St Lucie, FL - 349862492 |
Business Phone Number: | 7728717170 |
Business Fax Number: | |
Mailing Address: | 156 Nw California Blvd, PORT ST LUCIE |
State: | FL |
Postal Code: | 349862492 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/16/2012 |
NPI Last Update Date: | 12/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT007594 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
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 |