Organization Name: | SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC. |
NPI Number: | 1134532054 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN VAN NOSTRAND (OWNER/OPERATOR) |
Mailing Address: | 324 Cross St Punta Gorda |
State: | FL US |
Postal Code: | 339504828 |
Phone Number: | 9412052180 |
Fax Number: | 9412052181 |
NPI Enumeration Date: | 06/09/2014 |
NPI Last Update Date: | 06/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 18108 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |