Organization Name: | ALEGIANT HEALTHCARE |
NPI Number: | 1104299908 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAIGE MUHL (PTA) |
Mailing Address: | 1750 W Broadway St Unit 219 Oviedo |
State: | FL US |
Postal Code: | 327659618 |
Phone Number: | 8002269917 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2015 |
NPI Last Update Date: | 11/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 2117028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |