Organization Name: | ADVANCED PHYSICAL THERAPY INC |
NPI Number: | 1376597849 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE R WILLS (PHYSICAL THERAPIST/OWNER) |
Mailing Address: | 6050 Babcock St Se Suite 5 Palm Bay |
State: | FL US |
Postal Code: | 329093996 |
Phone Number: | 3216762055 |
Fax Number: | 3216769928 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 5799 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |