Organization Name: | THERESA PLASENCIA PHYSICAL THERAPY, INC. |
NPI Number: | 1194919571 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESA IRENE PLASENCIA (OWNER) |
Mailing Address: | 1030 County Road E W Suite 240 Shoreview |
State: | MN US |
Postal Code: | 551268152 |
Phone Number: | 6514930626 |
Fax Number: | 6514938463 |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 10/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5930 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |