Doctor Name: | MR. WILLIAM K BAROUTAS |
NPI Number: | 1134315211 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 40QB00255100 |
Business Practice Address: | 1200 Eagle Ave Ocean, NJ - 077127631 |
Business Phone Number: | 7326606220 |
Business Fax Number: | 7326606221 |
Mailing Address: | 1200 Eagle Ave, OCEAN |
State: | NJ |
Postal Code: | 077127631 |
Phone Number: | 7326606220 |
Fax Number: | 7326606221 |
NPI Enumeration Date: | 09/21/2007 |
NPI Last Update Date: | 09/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QB00255100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |