Organization Name: | PT MAX PAIN MANAGEMENT CLINIC |
NPI Number: | 1093094468 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERUM KHAN (PHYSICAL THERAPIST) |
Mailing Address: | 9708 Bustleton Ave # 19115 Philadelphia |
State: | PA US |
Postal Code: | 191153106 |
Phone Number: | 4077612404 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2011 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 020505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |