Organization Name: | FWTW INC. |
NPI Number: | 1285872812 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSS JOSEPH DOVER (CEO) |
Mailing Address: | 500 Quintana Rd Morro Bay |
State: | CA US |
Postal Code: | 934421938 |
Phone Number: | 8057727358 |
Fax Number: | 8057720409 |
NPI Enumeration Date: | 02/04/2009 |
NPI Last Update Date: | 02/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT12081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |