Doctor Name: | JOHN A PRENTISS |
NPI Number: | 1184662223 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT-9006 |
Business Practice Address: | 10701 East Blvd W117 Cleveland, OH - 441061702 |
Business Phone Number: | 2167913800 |
Business Fax Number: | 2162313433 |
Mailing Address: | 4842 Ridge Rd, WADSWORTH |
State: | OH |
Postal Code: | 442819759 |
Phone Number: | 3306183802 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-9006 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |