Organization Name: | J D K THERAPY GROUP LLC |
NPI Number: | 1205966918 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH JONATHAN MARINO (PHYSICAL THERAPIST OWNER) |
Mailing Address: | 1401 Church Street Jeanerette |
State: | LA US |
Postal Code: | 70544 |
Phone Number: | 3372762803 |
Fax Number: | 3372769521 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 09/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 04213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |