Organization Name: | COMPREHENSIVE PHYSICAL THERAPY, INC |
NPI Number: | 1194902817 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH A KNICKERBOCKER (ADMINISTRATOR) |
Mailing Address: | 37104 Clinton Ave Dade City |
State: | FL US |
Postal Code: | 335255911 |
Phone Number: | 3525210627 |
Fax Number: | 3525215958 |
NPI Enumeration Date: | 01/24/2008 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |