Doctor Name: | BERNARD JAY LUDWIG |
NPI Number: | 1245251800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 102027-2401 |
Business Practice Address: | 3497 W 3500 S West Valley City, UT - 841192537 |
Business Phone Number: | 8014175017 |
Business Fax Number: | 8014175016 |
Mailing Address: | Po Box 307, BOUNTIFUL |
State: | UT |
Postal Code: | 840110307 |
Phone Number: | 8887006907 |
Fax Number: | 8012946917 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 102027-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |