Organization Name: | PHYSICAL THERAPISTS CLINIC, LTD |
NPI Number: | 1083769475 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERYL DIANE BARBER (INSURANCE MANAGER) |
Mailing Address: | 1440 W Walnut St Suite2 Jacksonville |
State: | IL US |
Postal Code: | 626501143 |
Phone Number: | 2172451325 |
Fax Number: | 2172436903 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |