Organization Name: | GATEWAY REHABILITATION COMPANY, LLC |
NPI Number: | 1093771883 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY D HAWKINS (OWNER) |
Mailing Address: | 935 East Airline Dr East Alton |
State: | IL US |
Postal Code: | 62024 |
Phone Number: | 6182589093 |
Fax Number: | 6182589097 |
NPI Enumeration Date: | 04/21/2006 |
NPI Last Update Date: | 07/12/2010 |
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 |