Organization Name: | PREMIER QUALITY PHYSICAL THERAPY INC |
NPI Number: | 1073559571 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IDALMI D PERERA (PRESIDENT) |
Mailing Address: | 11300 Nw 87th Ct Ste 117- 119 Hialeah Gardens |
State: | FL US |
Postal Code: | 330184586 |
Phone Number: | 3058199755 |
Fax Number: | 3058199753 |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |