Organization Name: | ONE ON ONE IN HOME PHYSICAL THERAPY-INC |
NPI Number: | 1093901787 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE STACEY GLUCK (OWNER) |
Mailing Address: | 6141 Nw 58th Way Parkland |
State: | FL US |
Postal Code: | 330674441 |
Phone Number: | 9546631539 |
Fax Number: | 9542550665 |
NPI Enumeration Date: | 09/17/2007 |
NPI Last Update Date: | 02/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT8115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |