Doctor Name: | MR. JAN HAKAN MORK |
NPI Number: | 1275817496 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 9678 |
Business Practice Address: | 7677 W Paradise Ln Apt 1083 Peoria, AZ - 853824961 |
Business Phone Number: | 6232299632 |
Business Fax Number: | |
Mailing Address: | 7677 W Paradise Ln, PEORIA |
State: | AZ |
Postal Code: | 853824961 |
Phone Number: | 6232299632 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2011 |
NPI Last Update Date: | 05/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |