Organization Name: | SPRINGBOK WELLNESS AND REHAB L.L.C. |
NPI Number: | 1073802542 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLIFFORD BRENDON GIBB (PHYSICIAN) |
Mailing Address: | 1400 N Gilbert Rd Suite M Gilbert |
State: | AZ US |
Postal Code: | 852342328 |
Phone Number: | 4805580474 |
Fax Number: | 4805580478 |
NPI Enumeration Date: | 04/05/2011 |
NPI Last Update Date: | 04/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |