Organization Name: | COMMUNITY PHYSICAL THERAPY INC. |
NPI Number: | 1386782613 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAMUEL TABAYOYONG (ALTERNATE ADMINISTRATOR) |
Mailing Address: | 119 W Main St Rose City |
State: | MI US |
Postal Code: | 486542502 |
Phone Number: | 9896853836 |
Fax Number: | 9893431098 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 09/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |