Organization Name: | NOSSEK REHAB LLC |
NPI Number: | 1194943423 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT J NOSSEK (OWNER) |
Mailing Address: | 405 W Main St Suite D Payson |
State: | AZ US |
Postal Code: | 855415333 |
Phone Number: | 9284740429 |
Fax Number: | 9284740199 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 01/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |