Organization Name: | BOSTON MOUNTAIN HEALTHCARE SERVICES INC. |
NPI Number: | 1144249103 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRADY T MCCOLLUM (PHYSICAL THERAPIST) |
Mailing Address: | 257 Airport Rd Ste. E Ozark |
State: | AR US |
Postal Code: | 729499200 |
Phone Number: | 4796673710 |
Fax Number: | 4796673712 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 06/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 2698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |