Doctor Name: | MR. LANCE JUSTIN PLATT |
NPI Number: | 1144222589 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 02774 |
Business Practice Address: | 1061 Harmon Ave Ste 1d03 Fort Stewart, GA - 313145604 |
Business Phone Number: | 9124356097 |
Business Fax Number: | 9124355003 |
Mailing Address: | 5 Ibis Way, SAVANNAH |
State: | GA |
Postal Code: | 314198801 |
Phone Number: | 9129279115 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02774 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |