Organization Name: | NEERLY FAMOUS INC |
NPI Number: | 1073891347 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOVELLA BLINZLER (PRESIDENT/OWNER/OPERATOR) |
Mailing Address: | 2501 E 20th St. Suite #4 Farmington |
State: | NM US |
Postal Code: | 874014448 |
Phone Number: | 5053258360 |
Fax Number: | 5053272424 |
NPI Enumeration Date: | 08/03/2011 |
NPI Last Update Date: | 08/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4960 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
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 |