Organization Name: | KEITH R. MADONIA, P.A. |
NPI Number: | 1417352485 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH RYAN MADONIA (OWNER) |
Mailing Address: | 2042 Sw Providence Pl Port St Lucie |
State: | FL US |
Postal Code: | 349534385 |
Phone Number: | 3053103702 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2014 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT19334 |
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 |